[1]张文俐,朱政斌,杜 润,等.急性心肌梗死患者药物洗脱支架植入后光学相干层析成像研究[J].介入放射学杂志,2015,(04):287-291.
 ZHANG Wen li,ZHU Zheng bin,DU Run,et al.Assessment of vascular healing with optical coherence tomography in patients with acute myocardial infarction after receiving drug eluting stent implantation[J].journal interventional radiology,2015,(04):287-291.
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急性心肌梗死患者药物洗脱支架植入后光学相干层析成像研究 ()

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

卷:
期数:
2015年04期
页码:
287-291
栏目:
心脏介入
出版日期:
2015-04-25

文章信息/Info

Title:
Assessment of vascular healing with optical coherence tomography in patients with acute myocardial infarction after receiving drug eluting stent implantation
作者:
张文俐 朱政斌 杜 润 朱劲舟 刘慧竹 张瑞岩
Author(s):
ZHANG Wen li ZHU Zheng bin DU Run ZHU Jin zhou LIU Hui zhu ZHANG Rui yan.
Department of Cardiology, Affiliated Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China
关键词:
【关键词】 急性心肌梗死 稳定型心绞痛 药物洗脱支架 光学相干层析成像
文献标志码:
A
摘要:
【摘要】 目的 采用光学相干层析成像(OCT)技术观察急性心肌梗死(AMI)患者药物洗脱支架(DES)植入1年后血管内膜增生及支架小梁覆盖程度,并与稳定型心绞痛(SA)患者作比较。方法 入选2011年3月至2012年7月因冠心病接受DES植入术治疗患者39例,其中AMI患者16例,SA患者23例。术后1年复查冠状动脉造影和OCT检查,测定新生内膜厚度、面积、容积、支架小梁覆盖及贴壁比率。结果 OCT测定结果显示,AMI组与SA组相比,平均新生内膜厚度(66.8 mm±20.7 mm对121.6 mm±135.7 mm,P=0.022)、新生内膜容量比率(5.66%±3.18%对11.88%±8.22%,P=0.005)、新生内膜>100 μm截面数比率(22.56%±23.99%对40.14%±30.01%,P=0.034)和支架小梁总体覆盖率(93.42%±7.03%对89.27%±6.40%,P=0.007)均明显较低。结论 AMI患者植入DES后内膜修复情况不佳,内膜增生及支架小梁覆盖率较差。

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备注/Memo

备注/Memo:
(收稿日期:2014-09-16)
(本文编辑:边 佶)
更新日期/Last Update: 2015-04-28