[1]梁国庆,姜铁民,陈少伯,等.冠状动脉分叉病变的血管内超声虚拟组织学影像特点[J].介入放射学杂志,2012,(04):274-277.
 ,,et al.The intravascular ultrasonographic virtual histology features of the coronary bifurcation lesions [J].journal interventional radiology,2012,(04):274-277.
点击复制

冠状动脉分叉病变的血管内超声虚拟组织学影像特点 ()

PDF下载中关闭

分享到:

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

卷:
期数:
2012年04期
页码:
274-277
栏目:
心脏介入
出版日期:
2012-04-28

文章信息/Info

Title:
The intravascular ultrasonographic virtual histology features of the coronary bifurcation lesions  
作者:
 梁国庆姜铁民陈少伯张建起赵季红
Author(s):
 LIANG Guoqin JIANG Tiemin CHEN Shaobo ZHANG Jianqi ZHAO Jihong.  
 Department of Cardiology, the Affiliated Hospital of Rear Service University of Chinese People's Armed Police, Tianjin 300162, China
关键词:
 【关键词】 动脉粥样硬化 血管内超声 冠状动脉分叉病变
文献标志码:
A
摘要:
 【摘要】 目的 采用血管内超声(IVUS)和血管内超声虚拟组织学(IVUSVH)检查方法分析冠状动脉分叉处斑块的影像学特点。 方法 收集2006年6月 - 2011年10月行选择性冠脉造影检查患者147例, 用IVUS和IVUSVH分析患者冠状动脉分叉近端、远端以及分叉处的对侧和内侧斑块负荷及其组成成分。结果 冠状动脉分叉处血管对侧壁的斑块负荷百分数为47% ± 14%,大于内侧壁的35% ± 11%,组间差异有统计学意义(P < 0.01)。分叉血管对侧壁的钙化成分为34% ± 31%,亦大于内侧的22% ± 21%,组间差异有统计学意义(P < 0.01 )。结论 冠状动脉分叉对侧低剪切力血管处动脉粥样硬化斑块负荷重,且动脉粥样硬化斑块中钙化成分比例较高。

参考文献/References:

[1]   Steigen TK, Maeng M, Wiseth R, et al. Randomized study on simple versus complex stenting of coronary artery bifurcation lesions: the Nordic bifurcation study[J]. Circulation, 2006, 114: 1955  1961.
[2]   梁国庆,   陈少伯,   赵季红, 等. 急性冠状动脉综合征患者冠状动脉斑块IVUSVH的影像特点[J].临床心血管病杂志, 2009, 25: 99  102.
[3]   陈少伯,   姜铁民,   梁国庆, 等. 梗死相关动脉粥样斑块的虚拟组织学特点与妊娠相关血浆蛋白A的相关性研究[J]. 介入放射学杂志, 2011, 20: 14  17.
[4]   梁国庆, 姜铁民, 赵季红, 等. 64层螺旋CT与血管内超声虚拟组织学成像对冠状动脉斑块评估的对比观察[J].中国医学影像技术, 2009, 25: 229  232.
[5]   Weydahl ES, Moore JE. Dynamic curvature strongly affects wall shear rates in a coronary artery bifurcation model[J]. J Biomech, 2001, 34: 1189  1196.
[6] Jou LD, van Tyen R, Berger SA, et al. Calculation of the magnetization distribution for fluid flowin curved vessels[J]. Magn Reson Med, 1996, 35: 77  84.
[7]  Gambillara V, Chambaz C, Montorzi G, et al. Plaqueprone hemodynamics impair endothelial function in pig carotid arteries[J]. Am J Physiol Heart Circ Physiol, 2006, 290: H2320  H2328.
[8]  RodriguezGranillo GA, GarcíaGarcía HM, Wentzel J, et al. Plaque composition and its relationship with acknowledged shear stress patterns in coronary arteries[J]. J Am Coll Cardiol, 2006, 47: 884  885.
[9]  Valgimigli M, RodriguezGranillo A, GarciaGarcia HM, et al. Plaque composition in the left main stem mimics the distal but not the proximal tract of the left coronary artery[J]. J Am Coll Cardiol, 2007, 49: 23  31.
[10] van der Giessen AG, Wentzel JJ, Meijboom WB, et al. Plaque and shear stress distribution in human coronary bifurcations: a multislice computed tomography study[J]. Eurointervention, 2009, 4: 654  661.
[11] Serruys PW, Morice MC, Kappetein AP, et al. Percutaneous coronary intervention versus coronaryartery bypass grafting for severe coronary artery disease[J]. N Engl J Med, 2009, 360: 961  972.
[12] Schoenenberger AW, Kobza R, Jamshidi P, et al. Sudden   cardiac death in patients with silent myocardial ischemia after myocardial infarction(from the Swiss Interventional Study on Silent Ischemia Type II[SWISSI II])[J]. Am J Cardiol, 2009, 104: 158  163.

相似文献/References:

[1].Spontaneous regression of a giant basilar artery aneurysm in a young adult after surgical injury :case report and literature review[J].介入放射学杂志,2007,(10):718.
 ZHANG He,LI Ming-hua,WANG Chun,et al.Spontaneous regression of a giant basilar artery aneurysm in a young adult after surgical injury :case report and literature review[J].journal interventional radiology,2007,(04):718.
[2]李统怀,郑红枫. 子宫动脉栓塞治疗子宫瘢痕妊娠11例[J].介入放射学杂志,2011,(11):898.
 LI Tong-huai,ZHENG Hong-feng..Clinical application of uterine artery embolization in treating uterine scar pregnancy[J].journal interventional radiology,2011,(04):898.
[3]吕维富,张爱武,周春泽,等. 子宫动脉的三维DSA表现及其最佳显示体位探讨[J].介入放射学杂志,2011,(11):853.
 LV Wei-fu,ZHANG Ai-wu,ZHOU Chun-ze,et al.3D-DSA findings of uterine artery and its optimal projection position[J].journal interventional radiology,2011,(04):853.
[4]张 靖,周少毅,陈昆山,等.经导管动脉硬化栓塞联合注射硬化治疗婴儿颌面部巨大高流量血管瘤[J].介入放射学杂志,2011,(11):848.
 ZHANG Jing,ZHOU Shao-yi,CHEN Kun-shan,et al.Transcatheter arterial sclerosing embolization with injection sclerotherapy for the treatment of huge and high-flow maxillofacial hemangiomas in infants[J].journal interventional radiology,2011,(04):848.
[5]谢小西,吕银祥,章宏欣,等. 肝动脉化疗栓塞、射频消融联合125Ⅰ粒子植入 治疗原发性肝癌的临床应用[J].介入放射学杂志,2011,(11):863.
 XIE Xiao-xi,LV Yin-xiang,ZHANG Hong-xin,et al.The clinical application of TACE together with RFA and 125Ⅰ seed implantation in treating hepatocellular carcinoma[J].journal interventional radiology,2011,(04):863.
[6]王铭义,王 峰. 脑灌注成像在颈动脉狭窄介入治疗中的应用[J].介入放射学杂志,2011,(11):915.
 WANG Ming-yi,WANG Feng..Application of brain perfusion imaging in interventional treatment of carotid artery stenosis[J].journal interventional radiology,2011,(04):915.
[7]杜 猛,张锦生. 介入治疗急性深静脉血栓的临床观察[J].介入放射学杂志,2011,(11):858.
 DU Meng,ZHANG Jing-sheng..Interventional therapy for acute deep venous thrombosis: a clinical observation[J].journal interventional radiology,2011,(04):858.
[8]孟庆娜,李国庆,白晓冬. 急性心肌梗死介入治疗术中恶心呕吐的护理[J].介入放射学杂志,2011,(11):913.
 MENG Qing-na,LI Guo-qing,BAI Xiao-dong..The nursing care of nausea and vomiting occurred in interventional treatment for acute myocardial infarction[J].journal interventional radiology,2011,(04):913.
[9]王海亭,蒋忠仆,周 毅,等. 透视引导下鱼肝油酸钠泡沫硬化剂治疗下肢静脉曲张30例[J].介入放射学杂志,2011,(11):905.
 WANG Hai-ting,JIANG Zhong-pu,ZHOU Yi,et al.Fluoroscopically-guided foam sclerotherapy with sodium morrhuate for the treatment of lower extremity varices[J].journal interventional radiology,2011,(04):905.
[10]杜 鲲,管 生,胡小波,等. 原发性肝癌TACE术后完全缓解病灶磁共振 ADC值可重复性及一致性研究[J].介入放射学杂志,2011,(11):867.
 DU Kun,GUAN Sheng,HU Xiao-bo,et al.Magnetic resonance apparent diffusion coefficient values of the completely remitted lesions of primary hepatocellular carcinoma after TACE: a study of their repeatability and consistency[J].journal interventional radiology,2011,(04):867.
[11]王 燕,李志伟,段 峰,等.次高温热球囊及冷冻球囊血管成形术的初步研究[J].介入放射学杂志,2013,(08):663.
 WANG Yan,LI Zhi? wei,DUAN Feng,et al. Percutaneous transluminal angioplasty by using sub?蛳 hyperthermia balloon or freezing?蛳 balloon: a preliminary study[J].journal interventional radiology,2013,(04):663.

备注/Memo

备注/Memo:
 (收稿日期:2011-12-10)
更新日期/Last Update: