在DES时代,用于促进冠状动脉干预的血管内成像
Gönül Zeren1,2, Eren Ozan Bakır1, Vincenzo Tufaro3
1Centre for Cardiovascular Medicine and Devices, William Harvey Research Institute, Queen Mary University, London E1 4NS, UK.
血管内成像 (IVI) 有助于规划穿皮冠状动脉干预 (PCI) 和优化药物释放支架 (DES) 植入. 最近的研究表明,IVI改善了结果,特别是在复杂的PCI程序中.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 干预心脏病学 干预心脏病学
背景情况:
- 血管内成像 (IVI) 在过去的35年里已经从评估冠状动脉病理发展到指导皮肤冠状动脉干预 (PCI).
- 它的作用在药物释放支架 (DES) 时代扩大,有助于支架植入和干预后评估.
研究的目的:
- 审查DES时代在PCI规划中IVI的证据.
- 分析关于IVI对支架失效的预测价值及其在复杂PCI中的作用的研究.
主要方法:
- 对PCI中的IVI随机试验和大规模结果研究的综述.
- 评估IVI用于支架失败预测和复杂的PCI规划的研究摘要.
主要成果:
- 早期的研究没有显示出预后益处,但最近的大型试验证实了IVI在指导DESPCI中的价值.
- 高分辨率的IVI可实现最佳的支架尺寸,并识别支架失效的原因,改善复杂程序的结果.
结论:
- 血管内成像对于有效的PCI规划和优化至关重要,特别是在药物释放支架上.
- 最近的证据强调了IVI在改善复杂PCI程序的结果和预防支架失败方面的作用.
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