[1]詹晓龙,陈丰毅,范燕宾,等.血管内超声成像指导下冲击波球囊与切割球囊治疗严重冠脉病变的疗效比较[J].介入放射学杂志,2025,34(10):1065-1071.[doi:10.3969/j.issn.1008-794X.2025.10.005]
　ZHAN Xiaolong,CHEN Fengyi,FAN Yanbin,et al.Intravascular ultrasound-guided shockwave balloon versus cutting balloon in the treatment of severe coronary artery lesions:comparison of therapeutic effect[J].J Intervent Med,2025,34(10):1065-1071.[doi:10.3969/j.issn.1008-794X.2025.10.005]
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血管内超声成像指导下冲击波球囊与切割球囊治疗严重冠脉病变的疗效比较()

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

卷:
34
期数:
2025年10
页码:
1065-1071
栏目:
心脏介入
出版日期:
2025-10-25

文章信息/Info

Title:
Intravascular ultrasound-guided shockwave balloon versus cutting balloon in the treatment of severe coronary artery lesions:comparison of therapeutic effect
文章编号:
1008-794X(2025)-010-1065-07
作者:
詹晓龙;  陈丰毅;  范燕宾;  王 磊
450000 河南郑州 南方医科大学附属郑州市第七人民医院心内科(詹晓龙、陈丰毅、范燕宾); 郑州大学附属河南省胸科医院心内科(王 磊)
Author(s):
ZHAN Xiaolong1; CHEN Fengyi1; FAN Yanbin1; WANG Lei2.
1Department of Cardiology,Affiliated Zhengzhou Municipal Seventh People's Hospital,Southern Medical University,Zhengzhou,Henan Province 450000,China; 2Department of Cardiology,Affiliated Henan Provincial Chest Hospital,Zhengzhou University,Zhengzhou,Henan Province 450000,China
关键词:
血管内超声;  冲击波球囊;  冠状动脉粥样硬化;  钙化;  不良心血管事件
DOI:
10.3969/j.issn.1008-794X.2025.10.005
文献标志码:
A
摘要:
目的 探讨血管内超声成像(intravascular ultrasound,IVUS)指导下冲击波球囊技术治疗冠状动脉钙化病变的效果及预后。方法 选取2021年1月至2022年12月南方医科大学附属郑州市第七人民医院和郑州大学附属胸科医院心内科收治的冠状动脉钙化病变患者180例,采用随机数字表将其分为两组,其中90例患者采用IVUS指导下冲击波球囊技术治疗(研究组),另90例患者采用IVUS指导下切割球囊技术治疗(对照组),对比两组患者手术效果及随访24个月的预后。结果 研究组医疗费用高于对照组(P<0.05); 研究组预处理后的斑块负荷小于对照组,最小管腔直径、支架内最小管腔面积、支架膨胀率均大于对照组(P<0.05); 术后1个月两组患者的左室射血分数均明显升高,左室舒张末期内径明显降低(P<0.05),但两组间差异无统计学意义(P>0.05)。研究组患者无不良心血管事件,生存中位时间长于对照组患者(P<0.05)。结论 IVUS指导下采用冲击波球囊技术治疗冠状动脉钙化病变疗效肯定,与IVUS指导下切割球囊技术治疗相比,术后靶血管管腔面积更大,远期预后更好。

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(收稿日期:2025-05-09)
(本文编辑:新 宇)

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备注/Memo

备注/Memo:
通信作者: 陈丰毅 E-mail:xlong116@sina.com
更新日期/Last Update: 2025-10-25