Study on the use of intravascular ultrasound-guided coronary intravascular lithotripsy compared with rotational atherectomy: a single-center, retrospective study.

IF 1.4 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Ben Li, Jiaxing Li, Guangxin Hu, Shichang Zhang, Yongkang Ren, Mingyang Li, Yinping Li, Shaobin Jia
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引用次数: 0

Abstract

Objective: This study aimed to compare the efficacy and safety of intravascular ultrasound (IVUS)-guided coronary intravascular lithotripsy and rotational atherectomy in treating severe coronary artery calcification.

Methods: A retrospective analysis of 60 patients who underwent percutaneous coronary intervention at the General Hospital of Ningxia Medical University from October 2022 to August 2023 was conducted. The patients were divided into two groups: 30 received IVUS-guided coronary intravascular lithotripsy and 30 underwent IVUS-guided rotational atherectomy. The primary endpoints comprised angiographic thrombolysis in myocardial infarction III flow and <30% stenosis post-percutaneous coronary intervention, and IVUS metrics, such as >80% stent expansion, avoiding high plaque burden or lipid-rich plaques, minimizing malapposition <0.4 mm/1 mm, and preventing tissue prolapse and dissection. Safety was assessed by complications and 1- and 6-month postoperative major adverse cardiovascular event rates.

Results: The primary endpoint was achieved in both groups. The treatment efficacy was 100% in all cases. At 1 and 6 months post-procedure, there was no significant difference in major adverse cardiovascular events, acute myocardial infarction, or stent thrombosis between the two groups.

Conclusion: IVUS-guided coronary intravascular lithotripsy is a safe and effective alternative to rotational atherectomy, potentially reducing certain complications.

超声引导下冠状动脉血管内碎石与旋转动脉粥样硬化切除术的对比研究:单中心回顾性研究。
目的:本研究旨在比较血管内超声(IVUS)引导下冠状动脉血管内碎石术与旋转动脉粥样硬化切除术治疗严重冠状动脉钙化的疗效和安全性。方法:回顾性分析2022年10月至2023年8月在宁夏医科大学总医院行经皮冠状动脉介入治疗的60例患者。患者分为两组:30例接受ivus引导下的冠状动脉血管内碎石术,30例接受ivus引导下的旋转动脉粥样硬化切除术。主要终点包括III型心肌梗死血流中的血管造影溶栓和80%的支架扩张,避免了高斑块负担或富含脂质斑块,最大限度地减少了错位。结果:两组均达到了主要终点。所有病例的治疗有效率均为100%。术后1个月和6个月,两组在主要不良心血管事件、急性心肌梗死或支架血栓形成方面无显著差异。结论:ivus引导下的冠状动脉血管内碎石术是一种安全有效的替代旋转动脉粥样硬化切除术的方法,可能减少某些并发症。
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
555
审稿时长
1 months
期刊介绍: _Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis. As a service to authors, every article accepted by peer review will be given a full technical edit to make papers as accessible and readable to the international medical community as rapidly as possible. Once the technical edit queries have been answered to the satisfaction of the journal, the paper will be published and made available freely to everyone under a creative commons licence. Symposium proceedings, summaries of presentations or collections of medical, pre-clinical or clinical data on a specific topic are welcome for publication as supplements. Print ISSN: 0300-0605
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