跨导管关闭多个冠状动脉囊:冠状动脉计算机断层扫描基于血管学的解剖学分类
Peijian Wei1, Yihang Li1, Fengwen Zhang1
1Department of Structural Heart Disease, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences & Peking Union Medical College, Fuwai Hospital, Beijing, China.
Revista espanola de cardiologia (English ed.)
|July 15, 2024
概括
多重冠状动脉囊 (MCAFs) 是常见的,具有不同的解剖特征. 与单个冠状动脉囊相比,MCAFs的跨导管关闭的失败率明显更高.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 冠状动脉抽 (CAF) 是冠状动脉与心室或大血管之间的异常连接.
- 多重冠状动脉囊 (MCAFs) 代表具有独特解剖特征的复杂CAF子集.
研究的目的:
- 以回顾分析MCAFs的解剖特征和分类.
- 为了比较MCAF和单个冠状动脉囊之间的跨导管闭合结果.
主要方法:
- 从2010年到2023年,对146名试图通过导管关闭CAF的患者进行了回顾性审查.
- 分类为单片和MCAF组.
- 解剖特征和关闭结果的比较.
主要成果:
- 多种类型的CAF占CAF的32.19%,其中I,II和III类的CAF分别占40.43%,42.55%和17.02%.
- MCAF主要来自右冠状动脉和左前下垂动脉,流入肺动脉,通常具有类似于plexus的形态.
- 超导管闭合成功率明显低于MCAF (64.29%) 相比单片 (84.34%),MCAF有2.64倍的失败风险.
结论:
- 在CAF中,MCAF是一个共同而独特的实体,可以根据来源和终结进行分类.
- 跨导管关闭MCAF的故障风险明显高于单片的故障风险.
相关概念视频
Imaging Studies for Cardiovascular System V: CT
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
Cardiac Catheterization I: Pre-Procedure Overview
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Coronary Artery Disease V: Interprofessional Care
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Acute Coronary Syndrome III: Diagnostic Studies
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...


