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支架扩张不足及主动脉开口病变的处理

Management of Stent Underexpansion and Aorto-ostial Lesions.

作者信息

Paolucci Luca, Shabbir Asad, Lombardi Marco, Jerónimo Adrián, Escaned Javier, Gonzalo Nieves

机构信息

Hospital Clínico San Carlos, Universidad Complutense de Madrid Spain.

出版信息

Interv Cardiol. 2024 Dec 23;19:e26. doi: 10.15420/icr.2024.10. eCollection 2024.

DOI:10.15420/icr.2024.10
PMID:39872904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11770534/
Abstract

Stent underexpansion (SU) and aorto-ostial lesions (AOL) are challenging conditions commonly faced during clinical practice in the setting of percutaneous coronary interventions. Compared to other interventional settings, both SU and AOL are associated with an increased risk of immediate and late events following percutaneous coronary intervention. Several specific strategies including the systematic use of intracoronary imaging and dedicated techniques for lesions' preparation and calcium debulking have been described. This narrative review summarises the currently available options for the diagnosis and treatment of both SU and AOL, highlighting the potential benefits and limits of each technique in these specific settings.

摘要

支架扩张不足（SU）和主动脉开口病变（AOL）是经皮冠状动脉介入治疗临床实践中常见的具有挑战性的情况。与其他介入治疗情况相比，SU和AOL在经皮冠状动脉介入治疗后均与即刻和晚期事件风险增加相关。已经描述了几种具体策略，包括系统使用冠状动脉内成像以及用于病变准备和钙化减容的专用技术。本叙述性综述总结了目前可用于诊断和治疗SU和AOL的方法，强调了每种技术在这些特定情况下的潜在益处和局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d6/11770534/cee984dd3ee4/icr-19-e26-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d6/11770534/3fd62d6ec385/icr-19-e26-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d6/11770534/58301a0d7aaf/icr-19-e26-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d6/11770534/e2359180ba9d/icr-19-e26-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d6/11770534/7507e5f1a1f8/icr-19-e26-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d6/11770534/cee984dd3ee4/icr-19-e26-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d6/11770534/3fd62d6ec385/icr-19-e26-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d6/11770534/58301a0d7aaf/icr-19-e26-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d6/11770534/e2359180ba9d/icr-19-e26-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d6/11770534/7507e5f1a1f8/icr-19-e26-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d6/11770534/cee984dd3ee4/icr-19-e26-g005.jpg

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本文引用的文献

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SCAI Expert Consensus Statement on the Management of Calcified Coronary Lesions.SCAI关于钙化冠状动脉病变管理的专家共识声明
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Hospital-Level Variability in Use of Intracoronary Imaging for Percutaneous Coronary Intervention in the United States.
美国冠状动脉介入治疗中冠状动脉内成像使用的医院水平差异。
J Soc Cardiovasc Angiogr Interv. 2023 May 19;2(4):100973. doi: 10.1016/j.jscai.2023.100973. eCollection 2023 Jul-Aug.
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Intravascular Lithotripsy for Calcified Left Main Artery Disease.钙化性左主干动脉疾病的血管内碎石术
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Ostial right coronary artery lesion morphology and outcomes after treatment with drug-eluting stents.药物洗脱支架治疗后开口右冠状动脉病变形态及结果。
EuroIntervention. 2024 Feb 5;20(3):e207-e215. doi: 10.4244/EIJ-D-23-00406.
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Optimal Minimal Stent Area and Impact of Stent Underexpansion in Left Main Up-Front 2-Stent Strategy.左主干 upfront 2 支架策略中最优最小支架面积和支架扩张不足的影响。
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Guide extension and optical coherence tomography, a new approach to study aorto-ostial coronary lesions: a case report.引导导管延伸与光学相干断层扫描：一种研究主动脉开口处冠状动脉病变的新方法：病例报告
Eur Heart J Case Rep. 2023 Dec 8;8(1):ytad624. doi: 10.1093/ehjcr/ytad624. eCollection 2024 Jan.
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