复杂经皮冠状动脉介入治疗中的钙修饰技术：最新进展综述。

IF 7.3 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Trends in Cardiovascular Medicine Pub Date : 2025-04-29 DOI:10.1016/j.tcm.2025.04.004

Brett M Montelaro, Travis M Wilson, Noah Newman, Edward Trey Woods, Muzamil Khawaja, Hafeez Hassan Virk, Johao Escobar, Mahboob Alam, Hani Jneid, Samin K Sharma, Chayakrit Krittanawong

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引用次数: 0

摘要

随着患者年龄的增加和医疗复杂性的增加，冠状动脉钙化是常见的，它的存在预示着经皮冠状动脉介入治疗（PCI）后更糟糕的结果-对手术成功和长期结果产生负面影响。这篇综述文章探讨了现有的成像技术和钙修饰技术，可以识别、表征和修饰这些病变，以促进支架植入。对支持这些技术的数据进行了探索，并提出了病变修复过程中的决策算法。此外，还讨论了当前的障碍和未来的发展方向。

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Calcium modification techniques in complex percutaneous coronary intervention: State-of-the-art review.

As patients increase in age and medical complexity, coronary artery calcification is frequently encountered and its presence portends worse outcomes following percutaneous coronary intervention (PCI) - negatively impacting procedural success and long-term outcomes. This review paper explores available imaging techniques and calcium modification technique that can identify, characterize and modify these lesions to facilitate stent implantation. The data supporting these techniques are explored and an algorithm for decision-making during lesion modification is presented. Current barriers and future directions are additionally discussed.

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来源期刊

Trends in Cardiovascular Medicine 医学-心血管系统

CiteScore

18.70

自引率

2.20%

发文量

143

审稿时长

21 days

期刊介绍： Trends in Cardiovascular Medicine delivers comprehensive, state-of-the-art reviews of scientific advancements in cardiovascular medicine, penned and scrutinized by internationally renowned experts. The articles provide authoritative insights into various topics, encompassing basic mechanisms, diagnosis, treatment, and prognosis of heart and blood vessel disorders, catering to clinicians and basic scientists alike. The journal covers a wide spectrum of cardiology, offering profound insights into aspects ranging from arrhythmias to vasculopathies.