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Optical coherence tomography versus intravascular ultrasound in patients with myocardial infarction: a diagnostic performance study of pre-percutaneous coronary interventions.

心肌梗死患者的光学相干断层扫描与血管内超声: 经皮冠状动脉介入治疗前的诊断性能研究。

  • 影响因子:0
  • DOI:10.1590/1414-431x20209776
  • 作者列表:"Niu Z","Lv X","Zhang J","Bao T
  • 发表时间:2020-01-01
Abstract

:Accurate coronary measurements are important in guiding percutaneous coronary intervention. Intravascular ultrasound is a widely accepted diagnostic modality for coronary measurement before percutaneous coronary intervention. The spatial resolution of optical coherence tomography is 10 times larger than that of intravascular ultrasound. The objective of the study was to compare quantitative and qualitative parameters of frequency domain optical coherence tomography (FDOCT) with those of intravascular ultrasound and coronary angiography in patients with acute myocardial infarction. Diagnostic parameters of coronary angiography, intravascular ultrasound, and FDOCT of 250 patients with coronary artery disease who required admission diagnosis were included in the analyses. Minimum lumen diameter detected by FDOCT was larger than that detected by quantitative coronary angiography (2.11±0.1 vs 1.89±0.09 mm, P<0.0001, q=34.67) but smaller than that detected by intravascular ultrasound (2.11±0.1 vs 2.19±0.11 mm, P<0.0001, q=12.61). Minimum lumen area detected by FDOCT was smaller than that detected by intravascular ultrasound (3.41±0.01 vs 3.69±0.01 mm2, P<0.0001). FDOCT detected higher numbers of thrombus, tissue protrusion, dissection, and incomplete stent apposition than those detected by intravascular ultrasound (P<0.0001 for all). More accurate and sensitive results of the coronary lumen can be detected by FDOCT than coronary angiography and intravascular ultrasound (level of evidence: III).

摘要

: 准确的冠状动脉测量对指导经皮冠状动脉介入治疗很重要。血管内超声是经皮冠状动脉介入治疗前冠状动脉测量的广泛接受的诊断方式。光学相干断层扫描的空间分辨率是血管内超声的10倍。本研究的目的是比较急性心肌梗死患者频域光学相干断层扫描 (FDOCT) 与血管内超声和冠状动脉造影的定量和定性参数。分析了250例需要入院诊断的冠心病患者的冠状动脉造影、血管内超声和FDOCT的诊断参数。FDOCT检测的最小管腔直径大于定量冠状动脉造影检测的最小管腔直径 (2.11 ± 0.1 vs 1.89 ± 0.09毫米,P<0.0001,q = 34.67),但小于血管内超声检测的最小管腔直径 (2.11 ± 0.1 vs 2.19 ± 0.11毫米,P<0.0001,q = 12.61)。FDOCT检测最小管腔面积小于血管内超声 (3.41 ± 0.01 vs 3.69 ± 0.01平方毫米,P<0.0001)。与血管内超声相比,FDOCT检测到的血栓、组织突出、夹层和支架贴附不全的数量较多 (均P<0.0001)。与冠状动脉造影和血管内超声相比,FDOCT可以检测到更准确和敏感的冠状动脉管腔结果 (证据水平: III)。

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影响因子:2.41
发表时间:2020-06-12
DOI:10.4244/EIJ-D-18-01138
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关键词: 暂无
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影响因子:1.67
发表时间:2020-01-01
DOI:10.2174/1573403X15666190513105231
作者列表:["Dev M","Sharma M","Rana N"]

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心脏影像技术方向

心脏结构和心脏血流的可视化,用于诊断评估或通过内窥镜、放射性核素成像等技术来指导心脏手术。

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