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旋切碎石术——急性冠状动脉综合征中钙化冠状动脉病变的一种新型补救策略。首例人体经验。

Rota-Lithotripsy-A Novel Bail-Out Strategy for Calcified Coronary Lesions in Acute Coronary Syndrome. The First-in-Man Experience.

作者信息

Włodarczak Adrian, Rola Piotr, Barycki Mateusz, Kulczycki Jan Jakub, Szudrowicz Marek, Lesiak Maciej, Doroszko Adrian

机构信息

Department of Cardiology, The Copper Health Centre (MCZ), 59-300 Lubin, Poland.

Department of Cardiology, Provincial Specialized Hospital in Legnica, 59-220 Legnica, Poland.

出版信息

J Clin Med. 2021 Apr 26;10(9):1872. doi: 10.3390/jcm10091872.

DOI:10.3390/jcm10091872
PMID:33925916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8123389/
Abstract

Heavy calcification remains one of the greatest challenges in the treatment of coronary artery disease (CAD), especially in subjects with an acute coronary syndrome (ACS). In the present case series study of high-risk patients with ACS, including both STEMI and NSTEMI, we performed a rota-lithotripsy-a combination of rotational atherectomy with subsequent intravascular lithotripsy-as a novel bail-out strategy to facilitate stent delivery in a tortuous calcified coronary artery.

摘要

严重钙化仍然是冠状动脉疾病（CAD）治疗中最大的挑战之一，尤其是在急性冠状动脉综合征（ACS）患者中。在本项针对包括ST段抬高型心肌梗死（STEMI）和非ST段抬高型心肌梗死（NSTEMI）在内的高危ACS患者的病例系列研究中，我们实施了旋磨碎石术——一种将旋切术与随后的血管内碎石术相结合的方法——作为一种新型的补救策略，以促进在迂曲钙化冠状动脉中植入支架。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d3/8123389/cce9d41884ae/jcm-10-01872-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d3/8123389/7f214bfbafac/jcm-10-01872-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d3/8123389/cce9d41884ae/jcm-10-01872-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d3/8123389/7f214bfbafac/jcm-10-01872-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d3/8123389/cce9d41884ae/jcm-10-01872-g002.jpg

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J Cardiol Cases. 2021 Jan 9;23(6):264-266. doi: 10.1016/j.jccase.2020.12.014. eCollection 2021 Jun.
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Calcific Plaque Modification by Acoustic Shock Waves: Intravascular Lithotripsy in Coronary Interventions.钙化斑块的声震波修饰：血管内碎石术在冠状动脉介入治疗中的应用。
Circ Cardiovasc Interv. 2021 Jan;14(1):e009354. doi: 10.1161/CIRCINTERVENTIONS.120.009354. Epub 2020 Sep 10.
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不符合标准的球囊扩张导管的临床结果：MOZEC™ NC 研究。
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5
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