中国介入心脏病学杂志2024,Vol.32Issue(2) :101-107.DOI:10.3969/j.issn.1004-8812.2024.02.007

经皮冠状动脉腔内冲击波球囊导管成形术治疗冠状动脉钙化病变的研究进展

Coronary intravascular lithotripsy for calcified coronary artery calcification-systematic review of researches

杨丽睿 冯婷婷 赵欣 张涛 赵林
中国介入心脏病学杂志2024,Vol.32Issue(2) :101-107.DOI:10.3969/j.issn.1004-8812.2024.02.007

经皮冠状动脉腔内冲击波球囊导管成形术治疗冠状动脉钙化病变的研究进展

Coronary intravascular lithotripsy for calcified coronary artery calcification-systematic review of researches

杨丽睿 1冯婷婷 2赵欣 1张涛 2赵林2
扫码查看

作者信息

  • 1. 首都医科大学附属北京安贞医院心内重症医学 北京市心肺血管疾病研究所,北京 100029
  • 2. 首都医科大学附属北京安贞医院冠心病六区,北京 100029
  • 折叠

摘要

冠状动脉钙化通常导致动脉血管顺应性下降,诱发术后支架膨胀不全、支架内再狭窄等并发症,最终造成介入治疗失败.传统的钙化病变处理策略受限于钙化斑块的性质和病变特征等,且操作较为复杂,手术并发症多,术后不良心血管事件发生风险增高.经皮冠状动脉腔内冲击波球囊导管成形术,又称为血管内碎石术,基于球囊的导管系统,能够安全有效地修饰浅表与深层钙化、同心或偏心钙化,从而明显改善血管顺应性,有利于后续介入治疗.目前血管内碎石术成为治疗冠状动脉钙化病变越来越重要的方法.本文主要对血管内碎石术的作用机制及治疗冠状动脉钙化病变的研究进行综述.

Abstract

Coronary artery calcification commonly results in reduced vascular compliance,facilitating incomplete stent expansion and in-stent restenosis after stent implantation,thereby leading to the failure of interventional treatment.Conventional approaches to managing calcified lesions are constrained by the intricate nature and properties of calcified plaques,which frequently pose challenges in their manipulation,consequently giving rise to numerous approaches complications and an elevated likelihood of adverse cardiovascular events following the procedure.Percutaneous coronary intraluminal shock wave balloon catheter angioplasty,also known as coronary intravascular lithotripsy,utilizing a balloon catheter system,demonstrates the capacity to safely and efficiently modify superficial and deep-seated calcifications,regardless of their concentric or eccentric nature.This intervention significantly enhances vascular compliance,thereby facilitating subsequent interventional therapies.Presently,coronary intravascular lithotripsy has emerged as a crucial approach in the management of coronary artery calcification.This article primarily offers a comprehensive examination of the mechanism of intravascular lithotripsy and the research pertaining to the treatment of coronary artery calcification.

关键词

经皮冠状动脉腔内冲击波球囊导管成形术/血管内碎石术/冠状动脉钙化

Key words

Percutaneous coronary intraluminal shock wave balloon catheter angioplasty/Intravascular lithotripsy/Coronary artery calcification

引用本文复制引用

出版年

2024
中国介入心脏病学杂志
北京大学

中国介入心脏病学杂志

CSTPCD
影响因子:1.224
ISSN:1004-8812
参考文献量47
段落导航相关论文