光学相干断层成像技术在冠心病慢性完全闭塞介入治疗中的应用进展

doi:10.3969/j.issn.2095-378X.2017.02.014

外科研究与新技术 ›› 2017, Vol. 6 ›› Issue (2): 118-120.doi: 10.3969/j.issn.2095-378X.2017.02.014

光学相干断层成像技术在冠心病慢性完全闭塞介入治疗中的应用进展

蔡斌(综述), 许嘉鸿(审校)

同济大学附属同济医院心内科,上海 200065

收稿日期:2017-02-27 发布日期:2017-07-21
通讯作者: 许嘉鸿,电子邮箱:xujiahong@tongji.edu.cn
作者简介:蔡斌(1991—),男,硕士研究生,从事心血管内科工作

Progress on application of optical coherence tomography to interventional treatment of chronic total occlusion of coronary heart disease

CAI Bin, XU Jiahong

Department of Cardiology,Tongji Hospital Affiliated to Tongji University, Shanghai 200065,China

Received:2017-02-27 Published:2017-07-21

摘要/Abstract

摘要： 冠心病慢性完全闭塞是冠心病中最为严重的病变类型,在介入治疗中开通难度大,术后并发症多。光学相干断层成像技术具有分辨率高,组织相关性良好等特点。在临床应用中,应用光学相干断层成像技术能够在介入治疗前对慢性完全闭塞血管进行评估,术中指导导丝通过病变,术后评估边缘夹层、支架贴壁不良等并发症,为支架植入提供更多的临床信息。现就光学相关断层成像在冠心病慢性完全闭塞病变中的应用进展进行简要介绍。

关键词: 冠心病, 光学相干断层成像, 慢性完全闭塞, 介入治疗

Abstract: Chronic total occlusion is the most severe type of coronary heart disease,featuring many difficulties in performing interventional techniques and postoperative complications.Optical coherence tomography is characterized by high resolution ratio and good correlation.The application of optical coherence tomography in clinical settings can evaluate chronic total occlusion of blood vessels before interventional therapy,guide guidewires getting through lesions during operation,and evaluate complications such as bad limbic dissection and incomplete stent apposition after operation,providing more clinical information for stent apposition.Now a brief introduction was presented on the application of optical coherence tomography to interventional treatment of chronic total occlusion of coronary heart disease (CHD).

Key words: Coronary heart disease, Optical coherence tomography, Chronic total occlusion, Interventional therapy

中图分类号:

R541.4

蔡斌, 许嘉鸿. 光学相干断层成像技术在冠心病慢性完全闭塞介入治疗中的应用进展[J]. 外科研究与新技术, 2017, 6(2): 118-120.

CAI Bin, XU Jiahong. Progress on application of optical coherence tomography to interventional treatment of chronic total occlusion of coronary heart disease[J]. Surgical Research and New Technique, 2017, 6(2): 118-120.

参考文献

[1] Amsterdam EA,Wenger NK,Brindis RG,et al.2014 AHA/ACC Guideline for the Management of Patients with Non-ST-Elevation Acute Coronary Syndromes:Executive Summary a Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines[J].Circulation,2014,130(25):2354-2394.
[2] Terashima M,Kaneda H,Suzuki T.The role of optical coherence tomography in coronary intervention[J].Korean J Intern Med,2012,27(1):1-12.
[3] Fefer P,Knudtson ML,Cheema AN,et al.Current perspectives on coronary chronic total occlusions:the Canadian Multicenter Chronic Total Occlusions Registry[J].J Am Coll Cardiol,2012,59(11):991.
[4] Ishibashi K,Tanaka A,Kitabata H,et al.Clinical significance of low signal intensity area surrounding stent struts identified by optical coherence tomography[J].Int Heart J,2013,54(1):7-10.
[5] Fefer P,Robert N,Qiang B,et al.Characterisation of a novel porcine coronary artery CTO model[J].Euro Intervention,2012,7(12):1444-1452.
[6] Strauss BH,Segev A,Wright GA,et al.Microvessels in chronic total occlusions:pathways for successful guidewire crossing?[J].J Interv Cardiol,2005,18(6):425-436.
[7] Munce NR,Yang VXD.Ex vivo imaging of chronic total occlusions using forward-looking optical coherence tomography[J].Lasers Surg Med,2007,39(1):28-35.
[8] Kang SJ,Nakano M,Virmaxi R,et al.OCT findings in patients with recanalization of organized thrombi in coronary arteries[J].JACC Cardiovasc Imaging,2015,5(7):725-732.
[9] Aoki T,Rodriguez-Porcel M,Matsuo Y,et al.Evaluation of coronary adventitial vasa vasorum using 3D optical coherence tomography:animal and human studies[J].Atherosclerosis,2015,239(1):203-208.
[10] Kajander OA,Koistinen LS,Eskola M,et al.Feasibility and repeatability of optical coherence tomography measurements of pre-stent thrombus burden in patients with STEMI treated with primary PCI[J].Eur Heart J Cardiovasc Imaging,2015,16(1):96-107.
[11] Estevez-Loureiro R,Ghione M,Kilickesmez K,et al.The role for adjunctive image in pre-procedural assessment and peri-procedural management in chronic total occlusion recanalisation[J].Curr Cardiol Rev,2014,10(2):120-126.
[12] Cortese B,Buccheri D,Piraino D,et al.Drug-coated balloon angioplasty for coronary chronic total occlusions.An OCT analysis for a “new” intriguing strategy[J].Int J Cardiol,2015,189(1):257-258.
[13] Murata A,Wallace-Bradley D,Tellez A,et al.Accuracy of optical coherence tomography in the evaluation of neointimal coverage after stent implantation[J].Am Coll Cardiol,2010,3(4):76-84.
[14] Daemen J,Wenaweser P,Tsuchida K,et al.Early and late coronary stent thrombosis of sirolimus-eluting and paclitaxel-eluting stents in routine clinical practice:data from a large two-institutional cohort study[J].Lancet,2007,369(9562):667-678.
[15] Kubo T,Akasaka T.Recent advances in intracoronary imaging techniques:focus on optical coherence tomography[J].Expert Rev Med Devices,2008,5(6):691-697.
[16] YAO Zhu-hua,Tetsuo M,Tsuyoshi I,et al.Neointimal coverage of sirolimus-eluting stents 6 months and 12 months after implantation:evaluation by optical coherence tomography[J].Chinese Med J-Peking,2008,121(6):503-507.
[17] Antonsen L,Thayssen P,Maehara A,et al.Optical coherence tomography guided percutaneous coronary intervention with nobori stent implantation in patients with non-ST-segment-elevation myocardial infarction (OCTACS) trial:difference in strut coverage and dynamic malapposition patterns at 6 months[J].Circ Cardiovasc Interv,2015,8(8):e002446.
[18] Sato K,Panoulas VF,Naganuma T,et al.Optimal duration of dual antiplatelet therapy after implantation of bioresorbable vascular scaffolds:lessons from optical coherence tomography[J].Can J Cardiol,2014,30(11):1460.
[19] Kimura M,Mintz GS,Carlier S,et al.Outcome after acute incomplete sirolimus-eluting stent apposition as assessed by serial intravascular ultrasound[J].Am J Cardiol,2006,98(4):436-442.
[20] Fujino Y,Bezerra HG,Attizzani GF,et al.Frequency-domain optical coherence tomography assessment of unprotected left main coronary artery disease—a comparison with intravascular ultrasound[J].Catheter Cardiovasc Interv,2013,82(3):e173-e183.
[21] Ozaki Y,Okumura M,Ismail TF,et al.The fate of incomplete stent apposition with drug-eluting stents:an optical coherence tomography-based natural history study[J].Eur Heart J,2010,31(12):1470-1476.
[22] Kume T,Okura H,Miyamoto Y,et al.Natural history of stent edge dissection,tissue protrusion and incomplete stent apposition detectable only on optical coherence tomography after stent implantation - preliminary observation[J].Circ J,2012,76(3):698-703.
[23] Chamié D,Bezerra HG,Attizzani GF,et al.Incidence,predictors,morphological characteristics,and clinical outcomes of stent edge dissections detected by optical coherence tomography[J].JACC Cardiovasc Interv,2013,6(8):800-813.

光学相干断层成像技术在冠心病慢性完全闭塞介入治疗中的应用进展

Progress on application of optical coherence tomography to interventional treatment of chronic total occlusion of coronary heart disease

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 4

编辑推荐

Metrics

本文评价

[1]	李晨光, 葛均波. 介入手术机器人系统在经皮冠状动脉介入治疗中的临床应用探讨[J]. 外科研究与新技术, 2021, 10(1): 1-3.
[2]	张桂运. 非优势侧椎动脉缺血性病变的介入治疗[J]. 外科研究与新技术, 2015, 4(1): 21-22,43.
[3]	顾畅(综述)，张杨杨(审校). N末端脑钠肽前体在心脏外科临床应用的进展[J]. 外科研究与新技术, 2013, 2(3): 180-184.
[4]	泽娜(综述), 李伟明(审校). 糖尿病冠心病之血管重建[J]. 外科研究与新技术, 2012, 1(1): 81-86.