血管内成像与生理评估与生物力学 - - 这是冠状动脉再血管化的更好的指南
Miłosz Starczyński1, Stanisław Dudek1, Piotr Baruś1
1First Department of Cardiology, Medical University of Warsaw, Banacha 1a Str., 02-097 Warsaw, Poland.
Diagnostics (Basel, Switzerland)
|June 28, 2023
概括
评估冠状动脉疾病 (CAD) 需要可靠的狭窄评估. 本综述涵盖了侵入性成像,如光学相干断层扫描 (OCT) 和血管内超声波 (IVUS),以及用于改善CAD管理的先进功能措施.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 诊断技术 诊断技术
背景情况:
- 冠状动脉疾病 (CAD) 仍然是全球主要的死亡原因.
- 准确评估冠状动脉狭窄对于有效的CAD管理至关重要.
- 目前对CAD的诊断方法在成像和功能评估方面存在局限性.
研究的目的:
- 审查目前对冠状动脉狭窄的侵入性功能和冠状动脉内成像评估.
- 为突出基于血管造影的新型和混合方法用于CAD评估.
主要方法:
- 对侵入性功能和冠状动脉内成像技术的现有文献的审查.
- 已知方法的概述,如分流储备 (FFR) 和即时无波比 (iFR).
- 讨论新兴技术,包括光学连贯断层扫描 (OCT),血管内超声波 (IVUS),定量流量比 (QFR),FFR-CT和计算流体动力学.
主要成果:
- 像FFR和iFR这样的侵入性功能评估是已知的工具.
- 冠内成像模式,如OCT和IVUS提供详细的解剖信息.
- 基于血管造影的新型测量方法 (QFR,vFFR,FFRangio,FFR-CT) 和混合方法为狭窄症评估提供了有前途的替代方案.
结论:
- 准确的狭窄性评估对于管理冠状动脉疾病至关重要.
- 有一系列的侵入性功能和成像技术可用,每个都有优点和局限性.
- 新兴的非侵入性和混合方法显示出克服CAD当前诊断挑战的潜力.
关键词:
血管造影衍生的分量流量储备.计算断层扫描衍生的流量分数储备.冠状动脉疾病是一种冠状动脉疾病.分流储备的部分流量储备.即时无波比即时无波比.静脉内超声波检查 静脉内超声波检查光学连贯性断层扫描技术的光学流量比率.通过皮肤进行冠状动脉干预.量化流量比率 量化流量比率更多相关视频
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