血管内碎石术的最佳实践。
Best Practice in Intravascular Lithotripsy.
作者信息
Honton Benjamin, Monsegu Jacques
机构信息
Department of Interventional Cardiology, Clinique Pasteur Toulouse, France.
Department of Interventional Cardiology, Institut Cardio-Vasculaire, Groupe Hospitalier Mutualiste Grenoble, France.
出版信息
Interv Cardiol. 2022 Jan 28;17:e02. doi: 10.15420/icr.2021.14. eCollection 2022 Jan.
Abstract
Intravascular lithotripsy (IVL) is a novel approach to lesion preparation of severely calcified plaques in coronary and peripheral vessels. Lithotripsy is delivered by vaporising fluid to create an expanding bubble that generates sonic pressure waves that interact with arterial calcification. Available data indicate that IVL leads to increased vessel compliance before stent implantation with high efficacy and an excellent safety profile. Since it gained the CE mark in 2017, and with improved operator experience, the use of IVL has expanded into more complex clinical situations. This review focuses on the best practice for IVL use in the cath lab, based on 3 years of experience with the technology and the latest scientific data from the Disrupt CAD clinical trials.
摘要
血管内碎石术（IVL）是一种用于冠状动脉和外周血管严重钙化斑块病变预处理的新方法。通过汽化液体来产生碎石术，从而形成一个不断膨胀的气泡，该气泡会产生与动脉钙化相互作用的声压波。现有数据表明，在支架植入前，IVL可有效提高血管顺应性，且安全性极佳。自2017年获得CE标志以来，随着操作者经验的增加，IVL的应用已扩展到更复杂的临床情况。基于3年的技术经验以及“Disrupt CAD”临床试验的最新科学数据，本综述重点关注IVL在导管室中的最佳应用实践。
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本文引用的文献
1
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JACC Cardiovasc Interv. 2021 Jun 28;14(12):1275-1292. doi: 10.1016/j.jcin.2021.03.036.
2
Intravascular Lithotripsy for Treatment of Calcified Coronary Lesions: Patient-Level Pooled Analysis of the Disrupt CAD Studies.血管内碎石术治疗钙化性冠状动脉病变：Disrupt CAD 研究的患者水平汇总分析。
JACC Cardiovasc Interv. 2021 Jun 28;14(12):1337-1348. doi: 10.1016/j.jcin.2021.04.015. Epub 2021 May 3.
3
Ventricular fibrillation induced by a lithotripsy-pulse on T during coronary intravascular shockwave lithotripsy.冠状动脉内冲击波碎石术期间，T波上的碎石脉冲诱发心室颤动。
Eur Heart J Case Rep. 2020 Nov 26;4(6):1-3. doi: 10.1093/ehjcr/ytaa416. eCollection 2020 Dec.
4
Intravascular Lithotripsy for Treatment of Severely Calcified Coronary Artery Disease.血管内碎石术治疗严重钙化冠状动脉疾病。
J Am Coll Cardiol. 2020 Dec 1;76(22):2635-2646. doi: 10.1016/j.jacc.2020.09.603. Epub 2020 Oct 15.
5
Safety and effectiveness of coronary intravascular lithotripsy in eccentric calcified coronary lesions: a patient-level pooled analysis from the Disrupt CAD I and CAD II Studies.偏心钙化冠状动脉病变中冠状动脉腔内碎石术的安全性和有效性：来自 Disrupt CAD I 和 CAD II 研究的患者水平汇总分析。
Clin Res Cardiol. 2021 Feb;110(2):228-236. doi: 10.1007/s00392-020-01737-3. Epub 2020 Sep 18.
6
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.
7
Feasibility, Safety, and Efficacy of Intravascular Lithotripsy in Severely Calcified Left Main Coronary Stenosis.血管内碎石术治疗严重钙化左主干冠状动脉狭窄的可行性、安全性及有效性
JACC Cardiovasc Interv. 2020 Jul 27;13(14):1727-1729. doi: 10.1016/j.jcin.2020.04.022.
8
Intravascular lithotripsy for lesion preparation in patients with calcific distal left main disease.血管内碎石术用于钙化性左主干远端病变患者的病变预处理
EuroIntervention. 2020 May 20;16(1):76-79. doi: 10.4244/EIJ-D-19-01052.
9
Contemporary Approach to Heavily Calcified Coronary Lesions.重度钙化冠状动脉病变的现代治疗方法
Interv Cardiol. 2019 Nov 18;14(3):154-163. doi: 10.15420/icr.2019.19.R1. eCollection 2019 Nov.
10
Intravascular Lithotripsy in Calcified Coronary Lesions: A Prospective, Observational, Multicenter Registry.血管内碎石术治疗钙化性冠状动脉病变：一项前瞻性、观察性、多中心登记研究。
Circ Cardiovasc Interv. 2019 Nov;12(11):e008154. doi: 10.1161/CIRCINTERVENTIONS.119.008154. Epub 2019 Nov 11.
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