经导管主动脉瓣置换术中血管内超声预防冠状动脉闭塞的研究。

IF 2.1 3区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Catheterization and Cardiovascular Interventions Pub Date : 2024-12-18 DOI:10.1002/ccd.31373

Helena Krysztofiak, Krzysztof Krawczyk, Witold Gwóźdź, Jerzy Sacha

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引用次数: 0

摘要

预测经导管主动脉瓣置换术（TAVR）后冠状动脉闭塞通常是基于计算机断层血管造影（CTA）。主要的危险因素似乎是低冠状动脉起飞和小主动脉根部。然而，CTA有时提供模糊的风险评估，即使有潜在风险的冠状动脉用导丝固定，在瓣膜植入后冠状动脉支架植入术的需要仍然不确定。为了减少不确定性，可以使用血管内超声（IVUS）。以下两个案例突出了IVUS在解决这些问题方面的效用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Intravascular Ultrasound for the Prevention of Coronary Artery Occlusion During Transcatheter Aortic Valve Replacement

Predicting coronary artery occlusion after transcatheter aortic valve replacement (TAVR) is usually based on computed tomography angiography (CTA). The primary risk factors seem to be a low coronary artery take-off and a small aortic root. However, CTA sometimes provides ambiguous risk assessment, and even if a potentially risky coronary artery is secured with a guidewire, the need for coronary stenting after valve implantation often remains uncertain. To reduce uncertainty, intravascular ultrasound (IVUS) can be used. The following two cases highlight the utility of IVUS in addressing these issues.

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来源期刊

Catheterization and Cardiovascular Interventions 医学-心血管系统

CiteScore

5.40

自引率

8.70%

发文量

419

审稿时长

2 months

期刊介绍： Catheterization and Cardiovascular Interventions is an international journal covering the broad field of cardiovascular diseases. Subject material includes basic and clinical information that is derived from or related to invasive and interventional coronary or peripheral vascular techniques. The journal focuses on material that will be of immediate practical value to physicians providing patient care in the clinical laboratory setting. To accomplish this, the journal publishes Preliminary Reports and Work In Progress articles that complement the traditional Original Studies, Case Reports, and Comprehensive Reviews. Perspective and insight concerning controversial subjects and evolving technologies are provided regularly through Editorial Commentaries furnished by members of the Editorial Board and other experts. Articles are subject to double-blind peer review and complete editorial evaluation prior to any decision regarding acceptability.