[1]张 蛟,段媛媛,罗建平,等.光学相干层析成像评价非ST段抬高型急性冠状动脉综合征患者靶血管中薄帽纤维粥样斑块分布[J].介入放射学杂志,2016,(08):658-663.
 ZHANG Jiao,DUAN Yuan-yuan,LUO Jian-ping,et al.OCT assessment of the distribution of thin-cap fibroatheromas in target coronary arteries in patients with non-ST segment elevated acute coronary syndrome [J].journal interventional radiology,2016,(08):658-663.
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光学相干层析成像评价非ST段抬高型急性冠状动脉综合征患者靶血管中薄帽纤维粥样斑块分布 ()

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

卷:
期数:
2016年08期
页码:
658-663
栏目:
心脏介入
出版日期:
2016-08-25

文章信息/Info

Title:
OCT assessment of the distribution of thin-cap fibroatheromas in target coronary arteries in patients with non-ST segment elevated acute coronary syndrome


作者:
张 蛟 段媛媛 罗建平 马东星 魏玉杰 荆丽敏 李 屹 贾小伟 刘惠亮
Author(s):
ZHANG Jiao DUAN Yuan-yuan LUO Jian-ping MA Dong-xing WEI Yu-jie JING Li-min LI Yi JIA Xiao-wei LIU Hui-liang
Department of Cardiology, General Hospital of Chinese People’s Armed Police, Beijing 100039, China
关键词:
【关键词】 光学相干层析成像技术 薄帽纤维粥样斑块 急性冠状动脉综合征
文献标志码:
A
摘要:
【摘要】 目的 采用光学相干层析成像(OCT)观察薄帽纤维粥样斑块(TCFA)在非ST段抬高型急性冠状动脉综合征(NSTE-ACS)患者靶血管中的自然分布。 方法 采用OCT对斑块脂质含量进行半定量评价(角度或象限),测量靶血管开口至纤维帽最薄处距离。 结果 选择2013年6月至2015年3月住院治疗的连续NSTE-ACS患者33例,其中不稳定型心绞痛24例,非ST段抬高型心肌梗死9例。OCT共检出74处病变;45处靶病变;其中TCFA病变38处(51.4%),非TCFA病变36处(48.6%)。前降支18处TCFA主要集中在近段,其中近段30 mm内13处(72.2%),40 mm内16处(88.9%);回旋支9处TCFA平均分布于整个靶血管,近段距开口30 mm内仅有3个(33.3%);右冠状动脉11处TCFA也平均分布在各段, 近段距开口30 mm内仅有4个(36.4%)。 结论 NSTE-ACS患者靶血管中TCFA病变更趋于分布在前降支近段,在回旋支和右冠状动脉中则趋于平均分布。

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备注/Memo

备注/Memo:
(收稿日期:2016-01-18)

(本文编辑:边 佶)
更新日期/Last Update: 2016-08-23