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颈动脉介入治疗中的血管内超声评估。

Intravascular ultrasound assessment in carotid interventions.

作者信息

Reid D B, Diethrich E B, Marx P, Wrasper R

机构信息

Glasgow Royal Infirmary, Scotland.

出版信息

J Endovasc Surg. 1996 May;3(2):203-10. doi: 10.1583/1074-6218(1996)003<0203:IUAICI>2.0.CO;2.

DOI:10.1583/1074-6218(1996)003<0203:IUAICI>2.0.CO;2
PMID:8798138
Abstract

PURPOSE

To demonstrate the clinical value of intravascular ultrasound (IVUS) imaging in monitoring stent deployment in the cervical carotid arteries.

METHODS AND RESULTS

Two-dimensional (2D) and three-dimensional (3D) IVUS imaging has been used routinely in more than 100 patients following carotid stenting and the completion angiogram to detect evidence of inaccurate stent deployment. Axial 2D views were used to measure diameters and cross-sectional areas and provide the basis for 3D reconstruction. These composited images produced single-frame views of entire vascular segments, with definition of vessel wall morphology, stent placement, and angioplasty-induced defects. This information was used in the decision to apply further treatment to the area in order to maximize luminal diameter and/or correct defects.

CONCLUSIONS

IVUS imaging is an important component of carotid artery stent procedures. It more accurately visualizes stent placement and vessel wall morphology than arteriography, information critical to the intraprocedural assessment process.

摘要

目的

证明血管内超声(IVUS)成像在监测颈总动脉支架置入中的临床价值。

方法与结果

二维(2D)和三维(3D)IVUS成像已常规用于100多名接受颈动脉支架置入术及完成血管造影的患者,以检测支架置入不准确的证据。轴向二维视图用于测量直径和横截面积,并为三维重建提供基础。这些合成图像生成了整个血管段的单帧视图,明确了血管壁形态、支架位置和血管成形术引起的缺损。这些信息用于决定是否对该区域进行进一步治疗,以最大限度地扩大管腔直径和/或纠正缺损。

结论

IVUS成像为颈动脉支架手术的重要组成部分。与动脉造影相比,它能更准确地显示支架位置和血管壁形态,这些信息对术中评估过程至关重要。

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Intravascular ultrasound assessment in carotid interventions.颈动脉介入治疗中的血管内超声评估。
J Endovasc Surg. 1996 May;3(2):203-10. doi: 10.1583/1074-6218(1996)003<0203:IUAICI>2.0.CO;2.
2
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Utility of intravascular ultrasound in carotid stenting.血管内超声在颈动脉支架置入术中的应用价值。
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The clinical value of three-dimensional intravascular ultrasound imaging.三维血管内超声成像的临床价值
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Intravascular ultrasound: principles and cerebrovascular applications.
血管内超声:原理与脑血管应用。
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