冠状动脉光学相干断层扫描
Optical Coherence Tomography of the Coronary Arteries.
作者信息
Roland Robert, Veselka Josef
机构信息
Department of Cardiology, Motol University Hospital, Charles University, Prague, Czech Republic.
出版信息
Int J Angiol. 2021 Mar;30(1):29-39. doi: 10.1055/s-0041-1724019. Epub 2021 Feb 12.
Abstract
Intravascular imaging, particularly optical coherence tomography, has brought significant improvement in diagnostic and therapeutical approaches to coronary artery disease and has offered superior high-resolution visualization of coronary arteries. The ability to obtain images of intramural and transmural coronary structures allows the study of the process of atherosclerosis, effect of therapies, mechanism of acute coronary syndrome and stent failure, and performance of new devices and enables the interventional cardiologist to optimize the effect of percutaneous coronary intervention. In this review, we provide the summary of the latest published data on clinical use of optical coherence tomography as well as practical algorithm for optical coherence tomography-guided percutaneous coronary intervention for daily interventional practice.
摘要
血管内成像，尤其是光学相干断层扫描，在冠状动脉疾病的诊断和治疗方法上带来了显著改善，并提供了冠状动脉的高分辨率可视化。获取壁内和透壁冠状动脉结构图像的能力有助于研究动脉粥样硬化过程、治疗效果、急性冠状动脉综合征和支架失败的机制以及新设备的性能，并使介入心脏病专家能够优化经皮冠状动脉介入治疗的效果。在本综述中，我们总结了关于光学相干断层扫描临床应用的最新发表数据，以及用于日常介入实践的光学相干断层扫描引导经皮冠状动脉介入治疗的实用算法。
相似文献
1
Optical Coherence Tomography of the Coronary Arteries.冠状动脉光学相干断层扫描
Int J Angiol. 2021 Mar;30(1):29-39. doi: 10.1055/s-0041-1724019. Epub 2021 Feb 12.
2
Optical Coherence Tomography-Guided Percutaneous Coronary Intervention: Practical Application.光学相干断层成像引导经皮冠状动脉介入治疗：实际应用。
Interv Cardiol Clin. 2023 Apr;12(2):215-224. doi: 10.1016/j.iccl.2022.12.003. Epub 2023 Jan 31.
3
Optimization of Percutaneous Coronary Intervention Using Optical Coherence Tomography.使用光学相干断层扫描优化经皮冠状动脉介入治疗
Korean Circ J. 2019 Sep;49(9):771-793. doi: 10.4070/kcj.2019.0198.
4
Intracoronary Optical Coherence Tomography 2018: Current Status and Future Directions.冠状动脉光学相干断层成像 2018：现状与未来方向。
JACC Cardiovasc Interv. 2017 Dec 26;10(24):2473-2487. doi: 10.1016/j.jcin.2017.09.042.
5
Guiding Intervention for Complex Coronary Lesions by Optical Coherence Tomography or Intravascular Ultrasound.光学相干断层成像术或血管内超声引导下的复杂冠状动脉病变介入治疗。
J Am Coll Cardiol. 2024 Jan 23;83(3):401-413. doi: 10.1016/j.jacc.2023.10.017. Epub 2023 Oct 23.
6
Optical frequency domain imaging vs. intravascular ultrasound in percutaneous coronary intervention (OPINION trial): Study protocol for a randomized controlled trial.光学频域成像与血管内超声在经皮冠状动脉介入治疗中的比较（OPINION试验）：一项随机对照试验的研究方案
J Cardiol. 2016 Nov;68(5):455-460. doi: 10.1016/j.jjcc.2015.11.007. Epub 2016 Jan 4.
7
Optical coherence tomography compared with intravascular ultrasound and with angiography to guide coronary stent implantation (ILUMIEN III: OPTIMIZE PCI): a randomised controlled trial.光学相干断层成像术与血管内超声和血管造影指导冠状动脉支架置入术的比较（ILUMIEN III：OPTIMIZE PCI）：一项随机对照试验。
Lancet. 2016 Nov 26;388(10060):2618-2628. doi: 10.1016/S0140-6736(16)31922-5. Epub 2016 Oct 30.
8
Optical Coherence Tomography to Optimize Results of Percutaneous Coronary Intervention in Patients with Non-ST-Elevation Acute Coronary Syndrome: Results of the Multicenter, Randomized DOCTORS Study (Does Optical Coherence Tomography Optimize Results of Stenting).光学相干断层成像术优化非 ST 段抬高型急性冠状动脉综合征患者经皮冠状动脉介入治疗的结果：多中心、随机 DOCTORS 研究的结果（光学相干断层成像术是否优化支架置入术的结果）。
Circulation. 2016 Sep 27;134(13):906-17. doi: 10.1161/CIRCULATIONAHA.116.024393. Epub 2016 Aug 29.
9
Optical coherence tomography-guided versus intravascular ultrasound-guided percutaneous coronary intervention in patients with acute myocardial infarction.光学相干断层扫描引导与血管内超声引导经皮冠状动脉介入治疗急性心肌梗死患者的比较。
Rev Esp Cardiol (Engl Ed). 2024 Aug;77(8):607-617. doi: 10.1016/j.rec.2023.11.014. Epub 2023 Dec 16.
10
Algorithmic Approach for Optical Coherence Tomography-Guided Stent Implantation During Percutaneous Coronary Intervention.经皮冠状动脉介入治疗期间光学相干断层扫描引导支架植入的算法方法
Interv Cardiol Clin. 2018 Jul;7(3):329-344. doi: 10.1016/j.iccl.2018.03.001. Epub 2018 Jun 29.
引用本文的文献
1
Optical Coherence Tomography in the Assessment and Management of Cardiac Allograft Vasculopathy.光学相干断层扫描在心脏移植血管病的评估和管理中的应用。
Curr Cardiol Rep. 2024 Aug;26(8):777-782. doi: 10.1007/s11886-024-02078-7. Epub 2024 Jun 12.
2
Advancements in Percutaneous Coronary Intervention Techniques: A Comprehensive Literature Review of Mixed Studies and Practice Guidelines.经皮冠状动脉介入技术的进展：混合研究与实践指南的综合文献综述
Cureus. 2023 Jul 3;15(7):e41311. doi: 10.7759/cureus.41311. eCollection 2023 Jul.
本文引用的文献
1
The 'Ten Commandments' for the 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation.2020年欧洲心脏病学会（ESC）非持续性ST段抬高型急性冠状动脉综合征患者管理指南的“十诫”
Eur Heart J. 2020 Oct 1;41(37):3495-3497. doi: 10.1093/eurheartj/ehaa624.
2
Clinical outcomes by optical characteristics of neointima and treatment modality in patients with coronary in-stent restenosis.冠状动脉支架内再狭窄患者的新生内膜光学特征与治疗方式的临床结果。
EuroIntervention. 2021 Aug 6;17(5):e388-e395. doi: 10.4244/EIJ-D-20-00662.
3
Angiography Alone Versus Angiography Plus Optical Coherence Tomography to Guide Percutaneous Coronary Intervention: Outcomes From the Pan-London PCI Cohort.单纯血管造影与血管造影加光学相干断层成像指导经皮冠状动脉介入治疗的比较：来自泛伦敦 PCI 队列的结果。
JACC Cardiovasc Interv. 2018 Jul 23;11(14):1313-1321. doi: 10.1016/j.jcin.2018.01.274.
4
Clinical use of intracoronary imaging. Part 1: guidance and optimization of coronary interventions. An expert consensus document of the European Association of Percutaneous Cardiovascular Interventions.冠状动脉内影像学的临床应用。第 1 部分：冠状动脉介入治疗的指导和优化。欧洲经皮心血管介入治疗协会的专家共识文件。
Eur Heart J. 2018 Sep 14;39(35):3281-3300. doi: 10.1093/eurheartj/ehy285.
5
Current Use of Intracoronary Imaging in Interventional Practice - Results of a European Association of Percutaneous Cardiovascular Interventions (EAPCI) and Japanese Association of Cardiovascular Interventions and Therapeutics (CVIT) Clinical Practice Survey.经皮心血管介入治疗欧洲协会（EAPCI）和日本心血管介入治疗学会（CVIT）临床实践调查：冠状动脉影像学在介入治疗中的当前应用。
Circ J. 2018 Apr 25;82(5):1360-1368. doi: 10.1253/circj.CJ-17-1144. Epub 2018 Mar 15.
6
European Society of Cardiology, acute cardiovascular care association, SCAD study group: a position paper on spontaneous coronary artery dissection.欧洲心脏病学会、急性心血管护理协会、自发性冠状动脉夹层研究组：关于自发性冠状动脉夹层的立场文件。
Eur Heart J. 2018 Sep 21;39(36):3353-3368. doi: 10.1093/eurheartj/ehy080.
7
Early Strut Coverage in Patients Receiving Drug-Eluting Stents and its Implications for Dual Antiplatelet Therapy: A Randomized Trial.接受药物洗脱支架治疗的患者早期支架贴壁情况及其对双联抗血小板治疗的影响：一项随机试验。
JACC Cardiovasc Imaging. 2018 Dec;11(12):1810-1819. doi: 10.1016/j.jcmg.2017.12.014. Epub 2018 Feb 14.
8
A new optical coherence tomography-based calcium scoring system to predict stent underexpansion.一种基于光学相干断层成像术的新的钙评分系统，用于预测支架扩张不足。
EuroIntervention. 2018 Apr 6;13(18):e2182-e2189. doi: 10.4244/EIJ-D-17-00962.
9
Efficacy of Optical Coherence Tomography-derived Morphometric Assessment in Predicting the Physiological Significance of Coronary Stenosis: Head-to-Head Comparison with Intravascular Ultrasound.光学相干断层成像衍生形态计量评估预测冠状动脉狭窄的生理学意义的效能：与血管内超声的头对头比较。
EuroIntervention. 2018 Apr 6;13(18):e2210-e2218. doi: 10.4244/EIJ-D-17-00613.
10
Optical frequency domain imaging vs. intravascular ultrasound in percutaneous coronary intervention (OPINION trial): one-year angiographic and clinical results.光学相干断层成像与血管内超声在经皮冠状动脉介入治疗中的比较（OPINION 试验）：一年的血管造影和临床结果。
Eur Heart J. 2017 Nov 7;38(42):3139-3147. doi: 10.1093/eurheartj/ehx351.
Zotero 插件