冲击波球囊治疗严重钙化冠状动脉病变的临床研究
1. 解放军南部战区海军第一医院, 心血管内科, 广东湛江 524005
2. 解放军南部战区海军第一医院, 门诊部, 广东湛江 524005
3. 解放军南部战区海军第一医院, 导管室, 广东湛江 524005
| 摘 要： | 目的：探讨严重钙化冠状动脉病变应用冲击波球囊治疗的有效性和注意事项。方法：回顾3例应用冲击波球囊治疗严重钙化冠状动脉病变的病例，并系统性复习关于冲击波球囊在冠状动脉介入治疗中应用的文献，分析讨论冲击波球囊治疗的基本原理、操作方法、注意事项及独特优势。结果：3例患者均通过冠状动脉造影发现严重钙化冠状动脉病变，其中2例应用了冠状动脉内光学相干成像进一步评估钙化部位、类型和严重程度。3例患者均使用1条冲击波球囊导管帮助完成钙化病变的预处理，并最终成功植入支架，取得冠状动脉介入治疗临床成功。结论：冲击波球囊是介入治疗严重钙化病变新的有效方法，与传统方法相比，这种方式在管腔获得、支架植入成功和降低主要不良心血管事件的风险方面具有良好的效果。 |
| 关 键 词： | 血管内冲击波治疗; 冠状动脉钙化病变; 球囊血管成形术; 斑块修饰 |
| DOI： | 10.57237/j.wjcm.2023.03.002 |
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收稿日期: 2023-06-28
接受日期: 2023-08-03
在线出版日期: 2023-08-29
Intravascular Lithotripsy in Calcified Coronary Lesions: A Case Report and Review
1. Department of Cardiology, First Naval Hospital of Southern Theater Command, PLA, Zhanjiang 524005, China
2. Department of Outpatient,, First Naval Hospital of Southern Theater Command, PLA, Zhanjiang 524005, China
3. Catheterization Lab, First Naval Hospital of Southern Theater Command, PLA, Zhanjiang 524005, China
| Abstract: | Objective: To investigate the effectiveness and precautions of shockwave-Intravascular Lithotripsy in severe calcified coronary artery disease. Methods: Three cases of severe calcified coronary artery disease treated with shockwave-Intravascular Lithotripsy were reviewed, and the literature on the application of shockwave- Intravascular Lithotripsy in coronary interventional therapy was systematically reviewed. Results: Severe calcified coronary artery lesions were found in all 3 patients by coronary angiography, and in 2 of them, intracoronary optical coherence imaging was used to further evaluate the location, type, and severity of calcification. All the 3 patients were treated with a shockwave-Intravascular Lithotripsy balloon catheter to help complete the pre-treatment of calcification lesions, and finally successfully implanted stents, achieving clinical success in coronary interventional therapy. Conclusion: Shockwave- Intravascular Lithotripsy is a safe and effective method for interventional treatment of severe calcification. |
| Keywords: | Intravascular Lithotripsy; Coronary Calcified Lesion; Balloon Angioplasty; Plaque Modification |
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