利用血管内成像技术揭开急性冠脉综合征的奥秘：从病理生理学到改善预后
Unlocking the Secrets of Acute Coronary Syndromes Using Intravascular Imaging: From Pathophysiology to Improving Outcomes.
作者信息
Apostolos Anastasios, Karanasos Antonios, Ktenopoulos Nikolaos, Tsalamandris Sotirios, Vlachakis Panayotis K, Kachrimanidis Ioannis, Skalidis Ioannis, Sagris Marios, Koliastasis Leonidas, Drakopoulou Maria, Synetos Andreas, Tsioufis Konstantinos, Toutouzas Konstantinos
机构信息
First Department of Cardiology, Medical School, National and Kapodistrian University of Athens, "Hippokration" General Hospital of Athens, 11528 Athens, Greece.
Department of Cardiology, Faculty of Medicine, University of Patras, University Hospital of Patras, 26504 Patras, Greece.
出版信息
J Clin Med. 2024 Nov 23;13(23):7087. doi: 10.3390/jcm13237087.
Acute coronary syndrome (ACS) represents the most severe manifestation of coronary artery disease. Intravascular imaging, both intravascular ultrasound (IVUS) and optical coherence tomography (OCT), have played crucial roles for the impressive reduction in mortality of ACS. Intravascular imaging is useful for the detection of atherosclerotic mechanism (plaque rupture, calcified nodules, or plaque erosions) and for the evaluation of nonatherosclerotic and nonobstructive types of ACS. In addition, IVUS and OCT play a crucial role in the optimization of the PCI. The aim of the current review is to present the role of intravascular imaging in identifying the mechanisms of ACS and its prognostic role in future events, to review the current guidelines suggesting intravascular imaging use in ACS, to summarize its role in PCI in patients with ACS, and to compare IVUS and OCT.
急性冠状动脉综合征（ACS）是冠状动脉疾病最严重的表现形式。血管内成像，包括血管内超声（IVUS）和光学相干断层扫描（OCT），在显著降低ACS死亡率方面发挥了关键作用。血管内成像有助于检测动脉粥样硬化机制（斑块破裂、钙化结节或斑块侵蚀），并用于评估非动脉粥样硬化和非阻塞性类型的ACS。此外，IVUS和OCT在优化经皮冠状动脉介入治疗（PCI）中起着关键作用。本综述的目的是阐述血管内成像在识别ACS机制中的作用及其对未来事件的预后作用，回顾当前建议在ACS中使用血管内成像的指南，总结其在ACS患者PCI中的作用，并比较IVUS和OCT。
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