冠脉血管内超声指导下对冠脉重度钙化病变介入治疗的临床研究

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Abstract Objective To study the effectiveness and safety of coronary intravascular ultrasound (IVUS) imaging guide in the interventional therapy of severe calcification. Methods From January 2016 to January 2019，99 patients with severe calcification treated in our hospital and requiring coronary intervention were selected as the research objects，and they were divided into the coronary IVUS imaging group (the IVUS group，46 cases) and the routine coronary intervention group (the routine group，53 cases) according to whether to use IVUS during coronary intervention. IVUS was used in the IVUS group，IVUS was not used in the routine group. The success rate of stent implantation，the incidence of complications during operation and hospitalization after operation，and the follow-up results of major adverse cardiac events during hospitalization and after operation at one year were observed and compared between the two groups. Results The success rate of stent implantation in the IVUS group was higher than that in the routine group，and the difference was statistically significant (P＜0.05). There was no significant difference between the two groups in the incidence of complications during operation and hospitalization after operation (P＞0.05). The follow-up results showed that the incidence of central colic and heart failure in the IVUS group after operation at one year were significantly lower than those in the routine group，and the differences were statistically significant (P＜0.05). Conclusion IVUS can improve the success rate of stent implantation and reduce the incidence of major clinical adverse cardiac events one year after operation，which has clinical significance in the interventional treatment of severe calcification of coronary artery.

Key words： Coronary intravascular ultrasound Coronary atherosclerotic heart disease Rotational atherectomy Calcification Interventional therapy

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	Articles by authors
	SU Yong-cai
	ZHANG Xiao-le
	DENG Bin
	SU Liang-xian

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SU Yong-cai,ZHANG Xiao-le,DENG Bin, et al. Clinical study of coronary intravascular ultrasound imaging guide in the interventional therapy of severe calcification lesion[J]. 中国当代医药, 2020, 27(18): 38-41.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I18/38

［1］	陈伟伟，高润霖，刘力生，等.中国心血管病报告2014［J］.中国循环杂志，2015，30（7）：617-622.
［2］	饶宠佑，魏钟海，谢峻，等.经皮冠状动脉旋磨术在重度钙化病变介入治疗中的疗效及安全性［J］.南京医科大学学报（自然科学版），2015，35（4）：534-537.
［3］	中国医师协会急诊医师分会，中华医学会心血管病学分会，中华医学会检验医学分会.急性冠脉综合片急诊快速诊疗指南［J］.中华急诊医学杂志，2016，25（4）：397-404.
［4］	国家卫生计生委合理用药专家委员会，中国药师协会.冠心病合理用药指南（第2 版）［J］.中国医学前沿杂志（电子版），2018，10（6）：l-127.
［5］	中华医学会心血管病学分会介入心脏病学组，中国医师协会心血管内科医师分会血栓防治专业委员会，中华心血管病杂志编辑委员会.中国经皮冠状动脉介入治疗指南（2016）［J］.中华心血管病杂志，2016，44（5）：382-400.
［6］	王伟民，霍勇，葛均波，等.冠状动脉钙化病变诊治中国专家共识［J］.中国介入心脏病学杂志，2014，22（2）：69-73.
［7］	康维强，王旭，王晏平，等.复杂冠状动脉病变的血管内超声应用策略［J］.中华临床医师杂志（电子版），2012，6（14）：3854-3857.
［8］	廖庆林，刘季东，李鸾，等.血管内超声在冠脉复杂病变介入诊疗中的临床价值［J］.现代生物医学进展，2012，12（5）：904-906.
［9］	胡宾，周玉杰，贾德安，等.经桡动脉行冠状动脉斑块旋磨和药物支架置入术治疗严重钙化病变的安全有效性［J］.心肺血管病杂志，2014，33（5）：666-669.
［10］	Mehta SK，McCrary JR，Frutkin AD，et al.Intravascular ultrasound radiofrequency analysis of coronary atherosclerosis：an emerging technology for the assessment of vulnerable plaque［J］.Eur Heart J，2007，28（11）：1283-1288.
［11］	张梅，殷志云，周炜，等.双源CT 冠状动脉造影对冠心病患者狭窄的诊断价值［J］.中国CT 和MRI 杂志，2019，17（5）：68-71.
［16］	吴志勇，关瑞锦，陈诗泉，等.应用小直径旋磨头联合药物洗脱支架治疗冠状动脉重度钙化病变的疗效［J］.介入放射学杂志，2014，23（3）：198-202.
［17］	李延辉，陈瑶，李成洋，等.冠脉支架植入术中血管内超声的应用［J］.中国医疗器械信息，2019，25（8）：132-133.
［18］	吴凯，何贵新，任加以，等.血管内超声在冠脉介入诊疗中的应用研究［J］.微创医学，2019，14（3）：259-263.
［12］	Kastelein JJP，de Groot E.Ultrasound imaging techniques for the evaluation of cardiovascular therapies［J］.Eur Heart J，2008，29（7）：849-858.
［13］	Mehta SK，McCrary JR，Frutkin AD，et al.Intravascular ultrasound radiofrequency analysis of coronary atherosclerosis：an emerging technology for the assessment of vulnerable plaque［J］.Eur Heart J，2007，28（11）：1283-1288.
［14］	Clavijo LC，Steinberg DH，Torguson R，et al.Sirolimus-eluting stents and calcified coronary lesions：clinical outcomes of patients treated with and without rotational atherectomy［J］.Catheter Cardiovasc Interv，2006，68（6）：873-878.
［15］	Tamekiyo H，Hayashi Y，Toyofuku M，et al.Clinical outcomes of sirolimus-eluting stenting after rotational atherectomy［J］.Circ J，2009，73（11）：2042-2049.