光学相干断层扫描引导下诊断和处理自发再通冠状动脉血栓的方法

Q4 Medicine Radiology Case Reports Pub Date : 2024-11-04 DOI:10.1016/j.radcr.2024.09.128
Mohamed El Minaoui, Wafa Id El Mouden
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引用次数: 0

摘要

在介入治疗中,冠状动脉血栓再通是一种罕见且未得到充分认识的情况,但随着冠状动脉内成像技术的使用,其发病率正在稳步上升。病理研究初步描述,约有三分之一的慢性冠状动脉闭塞患者存在这种情况。它被描述为一种慢性闭塞,由多个内皮覆盖的通道组成,这些通道被隔膜隔开,汇聚成一个单一的管腔。在血管造影研究中,它经常被误认为是新鲜血栓、自发性冠状动脉夹层或严重钙化。因此,冠状动脉内成像,特别是光学相干断层扫描,对最终确定其诊断和识别相关机制以指导最佳治疗策略很有意义。在本报告中,我们介绍了我们在一例利用冠状动脉内光学相干断层扫描成像诊断再通血栓并成功进行经皮冠状动脉介入治疗的病例中的经验。
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Optical coherence tomography-guided approach in diagnosing and managing spontaneously recanalized coronary thrombus
Recanalized coronary thrombus is a rare and under-recognized condition in interventional practice, however its incidence is steadily increasing with the use of endo-coronary imaging. It has been initially described by pathological studies in approximately one-third of chronic coronary occlusions. It is described as a chronic occlusion that constitutes several endothelium-covered channels separated by septa that converge into a single lumen. In angiographic studies, it is often misidentified as fresh thrombus, spontaneous coronary artery dissection or severe calcification. Hence the interest of intracoronary imaging, particularly optical coherence tomography, to conclusively establish its diagnosis and identify the related mechanism in order to guide the optimal therapeutic strategy.
In this report, we describe our experience with a case of recanalized thrombus diagnosed using intracoronary optical coherence tomography imaging with successful percutaneous coronary intervention.
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来源期刊
Radiology Case Reports
Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
1.10
自引率
0.00%
发文量
1074
审稿时长
30 days
期刊介绍: The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.
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