满月冠状动脉钙化在心脏断层扫描上的表现，能改变PCI的决策和程序吗?

Q4 Medicine

Cardiovascular Medicine Pub Date : 2021-11-01 DOI:10.4414/cvm.2021.02185

Youssef S. Abdelwahed, C. Skurk, P. Siegrist, U. Landmesser, G. Werner

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引用次数: 1

摘要

我们报告的情况下，57岁mal抱怨复发性胸痛入院选择性再通尝试已知的慢性完全闭塞的右冠状动脉(RCA)。血管造影显示，RCA近端出现高度支架内再狭窄，随后从13年前放置支架的中部开始血管完全闭塞(图1)。在手术前进行心脏计算机断层扫描(CT)作为准备。RCA近端和支架内可见重度钙化，提示新动脉粥样硬化性疾病(图2A)。钙化斑块的横断面图像显示一个圆形

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Full Moon Coronary calcium seen on cardiac Tomography, can it change PCI decision-making and procedure?

We report the case of a 57-year-old mal complaining of recurrent chest pain admitted electively for a recanalisation attempt to a known chronically totally occluded right coronary artery (RCA). Angiographically, the RCA was seen to have a high-grade in-stent restenosis in its proximal part followed by complete occlusion of the vessel, starting from the mid part of the stent deployed 13 years before (fig. 1). Cardiac computed tomography (CT) was performed as a preparation before the procedure. The RCA was seen to have heavy calcification in its proximal part and within the stent, indicating neoatherosclerotic disease (fig. 2A). The cross-sectional image of the calcified plaque revealed a circular

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来源期刊

Cardiovascular Medicine

CiteScore

0.40

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The open access journal “Cardiovascular Medicine” is an international clinical practice journal. The journal publishes reviews from recognized experts in the field, covering current topics and news pertaining to cardiology, angiology, hypertension, cardiovascular surgery, as well as other related disciplines, and selected reports of original research. These articles are rounded off with in-depth guidelines, the latest developments in the scientific community, as well as clinical case reports. There are also special editions that focus on hot topic issues, as well as summary reports of national conferences, such as the annual meeting of the Swiss Society of Cardiology.