[1]张紫微,白 洁,郑甲林,等.冲击波血管内碎石术治疗冠状动脉钙化病变有效性和安全性分析[J].介入放射学杂志,2024,33(04):363-367.
 ZHANG Ziwei,BAI Jie,ZHENG Jialin,et al.Shockwave intravascular lithotripsy for the treatment of coronary artery calcification lesions: analysis of its efficacy and safety[J].journal interventional radiology,2024,33(04):363-367.
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冲击波血管内碎石术治疗冠状动脉钙化病变有效性和安全性分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年04
页码:
363-367
栏目:
心脏介入
出版日期:
2024-05-04

文章信息/Info

Title:
Shockwave intravascular lithotripsy for the treatment of coronary artery calcification lesions: analysis of its efficacy and safety
作者:
张紫微 白 洁 郑甲林 唐 炯 杨帮国 蔡文峰 齐 峰
Author(s):
ZHANG Ziwei BAI Jie ZHENG Jialin TANG Jiong YANG Bangguo CAI Wenfeng QI Feng.
Coronary Heart Disease Center, Yunnan Provincial Fuwai Cardiovascular Disease Hospital, Kunming, Yunnan Province 650102, China
关键词:
【关键词】 钙化病变 冲击波球囊 血管内碎石术 经皮冠状动脉介入治疗
文献标志码:
A
摘要:
【摘要】 目的 探讨冲击波球囊血管内碎石术(IVL)在冠状动脉钙化病变中应用的安全性和有效性。方法 研究对象为2022年8月至2023年4月在云南省阜外心血管病医院接受介入治疗的50例中重度冠状动脉钙化病变患者,其中各25例分别采用Shockwave球囊IVL、临床常规介入方法治疗。血管内超声导引手术操作,评估钙化病变特征及术后支架膨胀率。观察记录围手术期并发症发生率。结果 IVL治疗组术后患者最狭窄处支架膨胀率显著高于非IVL治疗组[(82.6±8.2)%比(76.4±11.2)%,P=0.030],手术时间更短[(78.6±30.8) min比(102.9±37.5) min,P=0.016],发生非Q波性心肌梗死患者更少(5例比12例,P=0.037),均未发生慢血流、无复流、冠状动脉穿孔、急性支架内血栓等并发症。结论 冲击波球囊IVL治疗中重度冠状动脉钙化病变安全有效,可显著改善支架膨胀率,降低并发症发生率。

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备注/Memo

备注/Memo:
(收稿日期:2023- 06- 05)
(本文编辑:谷 珂)
更新日期/Last Update: 2024-05-04