期刊文献+

应用血管内超声评价冠状动脉支架植入 被引量:4

Assessment of clinical application of intravascular ultrasound in intracoronary stent implantation
原文传递
导出
摘要 目的探讨血管内超声(IVUS)评价冠状动脉(冠脉)内高压球囊扩张支架植入后支架释放的效果。方法46例患者62处冠脉病变行支架植入术后接受IVUS检查,观察支架是否充分扩张及粥样斑块负荷的变化,未达到理想扩张者再次高压扩张。结果首次高压扩张后全部病变均达到冠脉造影理想的支架植入标准,但仅28处(45.2%)符合IVUS理想支架植入标准;34处(54.8%)病变未达到IVUS标准者进一步高压扩张后,30处达到理想标准。高压球囊扩张后原病变处仍有较大的粥样斑块负荷。结论采用高压球囊扩张支架植入术,并不能均达到理想的支架扩张,IVUS指导下的更高压力扩张可进一步改善支架植入效果。 Objective To discuss whether the application of intravascular uhrasound(IVUS) guided stent implantation was necessary. Methods IVUS was used to evaluate the effect of 62 stents in 46 patients immediately following stent deployment with high pressure (12 - 14 arm). If optimum stent deployment was not met, additional higher pressure dilatation would be performed. Results Of 62 stents after initial highpressure dilatation, only twenty eight (45.2%) stents achieved optimum stent deployment by optimal criteria of IVUS, thirty-four(54.8%) lesions received additional higher-pressure dilatation. There were serious residual plaque burdens in all patients after stent deployment with high-pressure. Conclusions Despite with moderately high pressure deployment, stent implantation was not satisfied. Additional higher pressure under IVUS guidance can achieve optimizing stent deployment. IVUS guidance of stent implantation is safe and effective.
出处 《中华超声影像学杂志》 CSCD 2005年第10期725-728,共4页 Chinese Journal of Ultrasonography
基金 国家自然科学基金资助项目(60271015) 卫生部临床学科重点项目(20012943)
  • 相关文献

参考文献11

  • 1Fitzgerald PJ,Oshima A,Hayase M,et al.Final results of the Can Routine Ultrasound Influence Stent Expansion (CRUISE) Study.Circulation,2000,102:523-530.
  • 2高润霖,刘冰.经皮冠状动脉介入治疗指南[J].中华心血管病杂志,2002,30(12):707-718. 被引量:336
  • 3Mintz GS,Nissen SE,Anderson WD,et al.American College of Cardiology Clinical Expert Consensus Document on Standards for Acquisition, Measurement and Reporting of Intravascular Ultrasound Studies (IVUS).A Report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents.J Am Coll Cardiol,2001,37:1478-1492.
  • 4佟子川,崔亮,王乐丰,王红石,邹阳春,葛永贵,倪祝华,徐立,李惟铭,杨新春.血管内超声对高压扩张冠状动脉支架置入的指导作用[J].中国介入心脏病学杂志,2004,12(3):143-146. 被引量:8
  • 5Hoffmann R,Mintz GS,Popma JJ,et al.Overestimation of acute lumen gain and late lumen loss by quantitative coronary angiography (compared with intravascular ultrasound) in stented lesions.Am J Cardiol,1997,80:1277-1281.
  • 6Hong MK,Park SW,Mintz GS,et al.Intravascular ultrasonic predictors of angiographic restenosis after long coronary stenting.Am J Cardiol,2000,85:441-445.
  • 7黄超联,朱文玲,沈珠军,曾勇,姜秀春,李燕华.冠状动脉内超声评价支架再狭窄[J].中华心血管病杂志,2001,29(8):459-461. 被引量:6
  • 8Hong MK,Park SW,Lee CK,et al.Relation between residual plaque burden after stenting and six-month angiographic restenosis.Am J Cardiol,2002,89:368-371.
  • 9Goldberg SL,Colombo A,Nakamura S,et al.Benefit of intracoronary ultrasound in the deployment or Palmaz-Schatz stents.J Am Coll Cardiol,1994,24:996-1003.
  • 10Hopp HW,Baer FM,Ozbek C,et al.A synergistic approach to optimal stenting:directional coronary atherectomy prior to coronary artery stent implantation-the AtheroLink Registry.J Am Coll Cardiol,2000,36:1853-1859.

二级参考文献20

  • 1Moussa I, Di Mario C, Reimers B, et al. Subacute stent thrombosis in the era of intravascular ultrasound-guided coronary stenting without anticoagulation: frequency, predictors and clinical outcome. J Am Coll Cardiol, 1997,29:6-12.
  • 2Choi JW, Goodreau LM, Davidson CJ. Resource utilization and clinical outcomes of coronary stenting: a comparison of intravascular ultrasound and angiographical guided stent implantation. Am Heart J, 2001,142:112-118.
  • 3Barragan P, Silvestri M, Sainsous J, et al. Prevention of subacute occlusion after coronory stenting with ticlopidine regimen without intracoronory ultrasound guide guidance stenting. J Am Coll Cardiol, 1995,25:182A.
  • 4de Feyter PJ, Kay P, Disco C, et al. Reference chart derived from post-stent-implantation intravascular ultrasound predictors of 6-month expected restenosis on quantitative coronary angiography. Circulation, 1999,100:1777-1783.
  • 5Roy PR, Lowe HC, Walter BW, et al. Intracoronory stenting without intracoronory ultrasound guidance followed by antiplatelet therapy with aspirin alone in selected patient. Am J Cardiol, 1996,77:1105-1107.
  • 6Nakamura S, Hall P, Gaglione A, et al. High pressure assisted coronary stent implantation accomplished without intravascular ultrasound guidance and subsequent anticoagulation. J Am Coll Cardiol, 1997,29:21-27.
  • 7Goldberg SL, Colombo A, Nakamura S, et al. Benefit of intracoronory ultrasound in the deployment of Palmaz-Schatz stents. J Am Coll Cardiol, 1994,24:996-1003.
  • 8Colombo A, Hall P, Nakamura S, et al. Intracoronory stenting without anticoagulation accomplished with intracoronory ultrasound guidance. Circulation, 1995,91:1676-1688.
  • 9Blessing E, Hausmann D, Sturm M, et al. Incomplete expansion of Palmaz-Schatz stents despite high-pressure implantation technique: impact on target lesion revascularization. Cardiology, 1999,91:102-108.
  • 10Takano Y, Yeatman LA, Higgins JR, et al. Optimizing stent expansion with new stent delivery systems. J Am Coll Cardiol, 2001,38:1622-1627.

共引文献346

同被引文献29

引证文献4

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部