[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:
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33
- 期数:
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2024年04
- 页码:
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363-367
- 栏目:
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心脏介入
- 出版日期:
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2024-05-04
文章信息/Info
- Title:
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Shockwave intravascular lithotripsy for the treatment of coronary artery calcification lesions: analysis of its efficacy and safety
- 作者:
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张紫微; 白 洁; 郑甲林; 唐 炯; 杨帮国; 蔡文峰; 齐 峰
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- Author(s):
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ZHANG Ziwei; BAI Jie; ZHENG Jialin; TANG Jiong; YANG Bangguo; CAI Wenfeng; QI Feng.
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Coronary Heart Disease Center, Yunnan Provincial Fuwai Cardiovascular Disease Hospital, Kunming, Yunnan Province 650102, China
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- 关键词:
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【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:
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A
- 摘要:
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【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。
参考文献/References:
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[3] Dini CS,Tomberli B,Mattesini A,et al. Intravascular lithotripsy for calcific coronary and peripheral artery stenoses[J]. EuroInter- vention, 2019, 15: 714- 721.
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备注/Memo
- 备注/Memo:
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(收稿日期:2023- 06- 05)
(本文编辑:谷 珂)
更新日期/Last Update:
2024-05-04