Current role of intravascular imaging in percutaneous treatment of calcified coronary lesions

被引：1
作者：
Rakotoarison, Oscar [1 ,2 ]
Roleder, Tomasz [3 ,4 ]
Zimoch, Wojciech [1 ,2 ]
Kuliczkowski, Wiktor [1 ,2 ]
Reczuch, Krzysztof [1 ,2 ]
Kubler, Piotr [1 ,2 ]
机构：
[1] Wroclaw Med Univ, Inst Heart Dis, Wroclaw, Poland
[2] Jan Mikulicz Radecki Univ Hosp, Inst Heart Dis, Wroclaw, Poland
[3] J Gromkowski Reg Specialist Hosp, Dept Cardiol, Wroclaw, Poland
[4] Med Univ Silesia, Dept Cardiol & Struct Heart Dis, Katowice, Poland
来源：
ADVANCES IN CLINICAL AND EXPERIMENTAL MEDICINE | 2024年 / 33卷 / 11期
关键词：
coronary artery disease; percutaneous coronary intervention; coronary stenosis; OPTICAL COHERENCE TOMOGRAPHY; ELUTING STENT IMPLANTATION; ROTATIONAL ATHERECTOMY; ARTERY-DISEASE; ULTRASOUND GUIDANCE; BALLOON ANGIOPLASTY; CALCIUM FRACTURE; CALCIFICATION; INTERVENTION; ANGIOGRAPHY;
D O I：
10.17219/acem/175273
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
Percutaneous treatment of calcified coronary lesions is still a challenge in modern interventional cardiology practice. Coronary angiography is limited to the precise and quantitative assessment of calcium in coronary arteries. Intracoronary imaging (ICI) modalities, including optical coherence tomography (OCT) and intravascular ultrasound (IVUS), produce a very detailed image of calcifications and could help in proper percutaneous treatment. Intracoronary imaging indicates the need to use additional tools and improves the final effect of an intervention. Drawing on the already published literature, the authors focused on the qualification of patients to the procedure, conduct and result of interventional procedures involving calcified lesions supported by ICI. The article shows the advantages and disadvantages of both ICI methods in general and especially in calcified lesions. Currently available tools dedicated to dealing with coronary calcium and helping to meet optimal stent implantation criteria are also described. This article reviews the data on ICI implementation in daily clinical practice to improve the results of percutaneous interventions, and indicates further directions.
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收藏
页码：1277 / 1287
页数：11
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