李栋栋, 段赟, 马文帅, 郭万刚. 光学相干断层扫描在冠状动脉分叉病变支架植入效果评价中的研究进展[J]. 心脏杂志, 2023, 35(4): 473-477. DOI: 10.12125/j.chj.202210064
    引用本文: 李栋栋, 段赟, 马文帅, 郭万刚. 光学相干断层扫描在冠状动脉分叉病变支架植入效果评价中的研究进展[J]. 心脏杂志, 2023, 35(4): 473-477. DOI: 10.12125/j.chj.202210064
    Dong-dong LI, Yun DUAN, Wen-shuai MA, Wan-gang GUO. Research advances in post-procedural stenting appraisal of coronary bifurcation lesion intervention with optical coherence tomography[J]. Chinese Heart Journal, 2023, 35(4): 473-477. DOI: 10.12125/j.chj.202210064
    Citation: Dong-dong LI, Yun DUAN, Wen-shuai MA, Wan-gang GUO. Research advances in post-procedural stenting appraisal of coronary bifurcation lesion intervention with optical coherence tomography[J]. Chinese Heart Journal, 2023, 35(4): 473-477. DOI: 10.12125/j.chj.202210064

    光学相干断层扫描在冠状动脉分叉病变支架植入效果评价中的研究进展

    Research advances in post-procedural stenting appraisal of coronary bifurcation lesion intervention with optical coherence tomography

    • 摘要: 冠状动脉分叉病变的治疗一直是介入领域的难点,光学相干断层扫描因其高分辨率的特有优势在分叉病变的病变评估、策略选择指导、治疗效果评价中发挥着重要作用,但其在临床中的应用率并不高,一般仅用于复杂病变,对支架植入后膨胀和贴壁等情况的效果评价并无统一的测量计算标准和确切的参考值。本综述结合冠状动脉分叉病变的特点,将不同临床或体外研究中应用到的支架植入效果评价方法及其与临床预后的相关性做一总结,从而为分叉病变支架植入效果评价方法的统一和临界值的确定提供价值参考。

       

      Abstract: Treatment of coronary bifurcation lesions remains a challenging in the field of interventional treatment. Optical coherence tomography plays a significant role in post-procedural appraisal due to its high resolution. However, optical coherence tomography is not routinely applied in clinical practice except for severe lesions. There are no standard index and cut-off value to appraise the post-procedural stent status. In this review we summarized the different indexes involved in different studies and their correlation with clinical outcomes to provide reference in appraising clinical post-procedural effectiveness.

       

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