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中国临床研究英文版:2021,34(11):1532-1536
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血管内超声指导冠状动脉痉挛性心绞痛介入治疗2例并文献复习
(南通大学附属南京江北医院心内科,江苏 南京 21004)
Stenting for patients with vasospastic angina guided by intravascular ultrasound: a case report and literature review
(Department of Cardiology, Affiliated Nanjing Jiangbei Hospital of Nantong University, Nanjing, Jiangsu 210048, China)
摘要
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Received:April 21, 2021   Published Online:November 20, 2021
中文摘要: 报告2例冠状动脉痉挛性心绞痛(VSA)患者冠状动脉造影(CAG)术中行血管内超声(IVUS)检查,2例VSA患者痉挛的右冠状动脉(RCA)均有3处临界病变,IVUS检查为无破裂的纤维斑块,斑块负荷在30%~72%,均采取支架植入处理,1年内随访无心绞痛发作。IVUS可以观察痉挛冠脉的斑块性质与负荷,并指导支架植入。
Abstract:Two cases of vasospastic angina (VSA) patients with IVUS examination during coronary angiography (CAG) operation was reported, the spasm right coronary artery (RCA) of 2 VSA patients had 3 borderline lesions, IVUS examination showed no rupture of fibrous plaque, plaque load was 30%-72%. Patients were treated with stent implantation, and no angina pectoris occurred during follow-up within 1 year. IVUS can observe the plaque nature and load of spastic coronary artery and guide the implantation of stents.
文章编号:     中图分类号:R541.42    文献标志码:B
基金项目:2018年中石化南化公司临床医学专项科研项目
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