[1]胡司淦,陈天平,陈 耀,等.血管内超声评估冠状动脉钙化病变特征对PCI术后支架膨胀的影响[J].介入放射学杂志,2023,32(04):354-358.
　PCI HU Sigan,CHEN Tianping,CHEN Yao,et al.The impact of coronary artery calcium characteristics assessed by intravascular ultrasound on the stent expansion after[J].journal interventional radiology,2023,32(04):354-358.
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血管内超声评估冠状动脉钙化病变特征对PCI术后支架膨胀的影响()

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

卷:
32
期数:
2023年04
页码:
354-358
栏目:
临床研究
出版日期:
2023-05-02

文章信息/Info

Title:
The impact of coronary artery calcium characteristics assessed by intravascular ultrasound on the stent expansion after
作者:
胡司淦;  陈天平;  陈 耀;  李 辉;  康品方;  高大胜
Author(s):
PCI HU Sigan;  CHEN Tianping;  CHEN Yao;  LI Hui;  KANG Pinfang;  GAO Dasheng.
Department of Cardiovasology， First Affiliated Hospital of Bengbu Medical College， Bengbu， Anhui Province 233004， China
关键词:
【关键词】 血管内超声;  经皮冠状动脉介入治疗;  冠状动脉钙化;  旋磨术
文献标志码:
A
摘要:
【摘要】 目的 探讨血管内超声（IVUS）评估冠状动脉钙化病变特征对经皮冠状动脉介入治疗（PCI）术后支架膨胀的影响。方法 271例接受PCI术及IVUS检查患者，根据IVUS检查结果分为非钙化组（n=101）、钙化组（n=170），钙化组根据临床表型又分为急性冠状动脉综合征（ACS）组（n=123）、稳定型心绞痛（SAP）组（n=47）。比较两组临床基线资料、血管造影和IVUS检查结果，分析支架膨胀不全的影响因素。结果 钙化组患者当前吸烟、多支血管病变比例高于非钙化组（均P＜0.05）。PCI术中钙化组旋磨术（RA）、切割球囊（CB）应用比例明显高于非钙化组（均P＜0.01），非顺应性球囊（NCB）扩张压力高于非钙化组（P＜0.01），支架长度明显长于非钙化组（P＜0.01）。SAP组斑块长度、斑块负荷、最大钙化弧度指标高于ACS组（均P＜0.05）。ACS组血栓性病变比例高于SAP组，且靶血管存在明显正性重构（P=0.02）。多因素logistic回归分析显示，最大浅层钙化弧度（OR=2.093，95%CI：1.144～3.829，P=0.017）和支架长度（OR=5.371，95%CI：1.696～16.534，P=0.023）与支架膨胀不全密切相关。结论 冠状动脉钙化病变的最大浅层钙化弧度和支架长度与支架膨胀不全密切相关。IVUS对冠脉钙化病变特征判断、PCI术中指导及支架膨胀评估有重要价值。

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备注/Memo

备注/Memo:
（收稿日期：2022-02-05）
（本文编辑：边 佶）
更新日期/Last Update: 2023-05-02