光学相干断层成像在体内检测冠状动脉钙化

Yosuke Katayama, Takashi Kubo, Takashi Akasaka
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引用次数: 1

摘要

急性冠脉综合征是由于冠状动脉粥样硬化病变中斑块破裂、斑块侵蚀或钙化结节引起的突然腔内血栓形成所致。冠状动脉钙化是众所周知的动脉粥样硬化斑块负荷的标志。准确评估冠状动脉钙化是经皮冠状动脉介入治疗(PCI)策略的关键。光学相干断层扫描(OCT)是一种高分辨率(10~20 μm)的血管内成像技术,使用近红外光成像。OCT使我们能够识别冠状动脉钙化的细节,并评估切割球囊血管成形术和旋转动脉粥样硬化切除术的效果。因此,在严重钙化病变中,OCT是指导PCI的有效技术。
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[In vivo detection of coronary artery calcification by optical coherence tomography.]

Acute coronary syndromes are caused by sudden luminal thrombosis due to plaque rupture, plaque erosion, or calcified nodule in coronary atherosclerotic lesions. Coronary calcification is a well-known marker of atherosclerotic plaque burden. Accurate evaluation of coronary calcification is critical for percutaneous coronary intervention(PCI)strategy. Optical coherence tomography(OCT)is a high-resolution(10~20 μm)intravascular imaging technique that uses near infrared light to create images. OCT allows us to identify the details of coronary calcification and assess the effect of cutting balloon angioplasty and rotational atherectomy. Then, OCT is a useful technique to guide PCI in the severe calcified lesions.

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