[1]刘伟丽,廉哲勋,李大成,等. 支架精显技术在冠状动脉支架植入术中的应用[J].介入放射学杂志,2020,29(07):659-663.
LIU Weili,LIAN Zhexun,LI Dacheng,et al.Application of enhanced stent visualization technology in coronary artery stent implantation[J].journal interventional radiology,2020,29(07):659-663.
点击复制
支架精显技术在冠状动脉支架植入术中的应用()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
-
29
- 期数:
-
2020年07
- 页码:
-
659-663
- 栏目:
-
心脏介入
- 出版日期:
-
2020-07-25
文章信息/Info
- Title:
-
Application of enhanced stent visualization technology in coronary artery stent implantation
- 作者:
-
刘伟丽; 廉哲勋; 李大成; 张 岩; 徐美玲; 孟 真; 綦俊辉; 杨 红; 谭好飞; 李燕超; 付军桦
-
- Author(s):
-
LIU Weili; LIAN Zhexun; LI Dacheng; ZHANG Yan; XU Meiling; MENG Zhen; QI Junhui; YANG Hong; TAN Haofei; LI Yanchao; FU Junhua.
-
Interventional Operation Room, Affiliated Hospital of Qingdao University, Qingdao, Shandong Province 266003, China
-
- 关键词:
-
【关键词】 冠状动脉造影定量分析; 支架精显技术; 血管内超声; 经皮冠状动脉介入术
- 文献标志码:
-
A
- 摘要:
-
【摘要】 目的 探讨冠状动脉造影定量分析(QCA)、支架精显(StentViz)和血管内超声(IVUS)在经皮冠状动脉介入术(PCI)中评价支架可视性和膨胀性的应用。 方法 收集2016年5月至2018年11月同时接受StentViz和IVUS检查的PCI患者30例。分别在QCA、StentViz和IVUS图像中对植入的33枚支架最小直径、最大直径进行测量,计算支架偏心指数,并进行不同方法间比较分析。对33枚支架共143幅StentViz影像作支架可视性分级评价。 结果 QCA测量的支架最小直径、最大直径均显著大于StentViz、IVUS测量(P<0.05),支架偏心指数均显著低于StentViz、IVUS测量(P<0.05);StentViz测量的上述指标与IVUS测量比较,差异无统计学意义(P>0.05)。StentViz与IVUS测量的支架最小直径相关性(r = 0.956)优于QCA与IVUS测量的相关性(r=0.776)。StentViz测量的支架最小直径与QCA测量相比,同IVUS测量具有更好的一致性。143幅StentViz图像中支架可视性评价显示,支架显示优82.1%(评分4分),良15.3%(2~3分),差2.6%(0~1分)。 结论 StentViz可显著提高冠状动脉内支架可视性,与QCA相比在测量支架直径方面同IVUS具有更好的相关性和一致性。
参考文献/References:
[1] Biscaglia S, Tumscitz C, Tebaldi M, et al. Enhanced stent visualization systems during PCI: a case series and review of literature[J]. J Cardiol Cases, 2015, 12: 1- 5.
[2] Dishmon DA, Elhaddi A, Packard K, et al. High incidence of inaccurate stent placement in the treatment of coronary aorto- ostial disease[J]. J Invasive Cardiol, 2011, 23: 322- 326.
[3] 血管内超声在冠状动脉疾病中应用的中国专家共识专家组. 血管内超声在冠状动脉疾病中应用的中国专家共识(2018)[J]. 中华心血管病杂志, 2018, 46:344- 351.
[4] Wiesinger B, Stutz A, Schmehl J, et al. Comparison of digital flat- panel detector and conventional angiography machines: evaluation of stent detection rates, visibility scores, and dose- area products[J]. AJR Am J Roentgenol, 2012, 198: 946- 954.
[5] Fujii K, Carlier SG, Mintz GS, et al. Stent underexpansion and residual reference segment stenosis are related to stent thrombosis after sirolimus- eluting stent implantation: an intravascular ultrasound study[J]. J Am Coll Cardiol, 2005, 45: 995- 998.
[6] Pal N, Din J, O’kane P. Contemporary management of stent failure: part one[J]. Interv Cardiol, 2019, 14: 10- 16.
[7] 张 蛟, 段媛媛, 魏玉杰, 等. 支架影像增强显影指导冠状动脉开口病变介入治疗临床应用[J]. 介入放射学杂志, 2015, 24: 662- 667.
[8] Nicosia A, van der Giessen WJ, Airiian SG, et al. Is intravascular ultrasound after coronary stenting a safe procedure? Three cases of stent damage attributable to ICUS in a tantalum coil stent[J]. Cathet Cardiovasc Diagn, 1997, 40: 265- 270.
[9] Sarno G, Garg S, Gomez- Lara J, et al. Intravascular ultrasound radiofrequency analysis after optimal coronary stenting with initial quantitative coronary angiography guidance: an ATHEROREMO sub- study[J]. EuroIntervention, 2011, 6: 977- 984.
[10] Jin Z, Yang S, Jing L, et al. Impact of stentboost subtract imaging on patient radiation exposure during percutaneous coronary intervention[J]. Int J Cardiovasc Imaging, 2013, 29: 1207- 1213.
[11] Fysal Z, Hyde T, Barnes E, et al. Evaluating stent optimisation technique (StentBoost ?誖) in a dedicated bifurcation stent (the TrytonTM) [J]. Cardiovasc Revasc Med, 2014, 15:92- 96.
[12] Gorge G, Haude M, Ge J, et al. Intravascular ultrasound after low and high inflation pressure coronary artery stent implantation[J]. J Am Coll Cardiol, 1995, 26: 725- 730.
[13] Fitzgerald PJ, Oshima A, Hayase M, et al. Final results of the can routine ultrasound influence stent expansion(CRUISE) study[J]. Circulation, 2000, 102: 523- 530.
[14] Blasini R, Neumann FJ, Schmitt C, et al. Comparison of angio- graphy and intravascular ultrasound for the assessment of lumen size after coronary stent placement: impact of dilation pressures[J]. Cathet Cardiovasc Diagn, 1997, 42: 113- 119.
[15] Mishell JM, Vakharia KT, Ports TA, et al. Determination of adequate coronary stent expansion using StentBoost, a novel fluoroscopic image processing technique[J]. Catheter Cardiovasc Interv, 2007, 69: 84- 93.
[16] Davies AG, Conway D, Reid S, et al. Assessment of coronary stent deployment using computer enhanced X- ray images- validation against intravascular ultrasound and best practice recommendations[J]. Catheter Cardiovasc Interv, 2013, 81: 419- 427.
备注/Memo
- 备注/Memo:
-
(收稿日期:2019- 09- 15)
(本文编辑:边 佶)
更新日期/Last Update:
2020-07-15