摘要
目的在冠状动脉内注入声学造影剂Ａｌｂｕｎｅｘ，以评价其对血管内超声的影响。方法对２３例经皮冠状动脉腔内成形术（ＰＴＣＡ）术后的患者，选择血管内超声（ＩＶＵＳ）检查，并通过导管将Ａｌ－ｂｕｎｅｘ２ｍｌ以１ｍｌ／ｓ的速度注入冠状动脉内，以测量注入前后的血管腔截面积和发现夹层。结果本组２３例经ＰＴＣＡ后的患者在注入Ａｌｂｕｎｅｘ前，由两名独立观察者分别测量的血管腔截面积为（６．６±２．３）ｍｍ２和（７．６±２．１）ｍｍ２（ｒ＝０．５３，Ｐ＜０．０５），冠状动脉夹层仅发现３例（３／２３例）。注入后，两者的测量值分别为（８．８±３．４）ｍｍ２和（８．９±３．３）ｍｍ２（ｒ＝０．９３，Ｐ＜０．００１），发现冠状动脉夹层７例（７／２３例）。结论血管内超声和冠脉内注入Ａｌｂｕｎｅｘ的联合应用。
Objective\ To evaluate the effects of echocardiographic contrast following intracoronary Albunex injection on intravascular ultrasound (IVUS). Methods\ The 23 patients undergoing PTCA were examined by IVUS. Albunex was injected into coronary artery through catheter. The lumen ares was measured and coronary dissections were detectd. Results\ Before intracoronary Albunex injection, the mean cross section lumen area in 23 patients measured by two observers showed (6.6±2.3) and (7.6±2.1)mm 2 (r=0.53, P<0.05) respectively, coronary dissections were only found in 3 patients by IVUS. After the injections, the lumen area showed (8.8±3.4) and (8.9±3.3)mm 2 (r=0.93, P<0.001), the dissections were found in 7 patients. Conclusions\ IVUS combinated with intracoronary Albunex injection inhenced accuracy of qualitative and qantitative information on the lumen and plaque.
出处
《中华超声影像学杂志》
CSCD
1999年第1期5-7,共3页
Chinese Journal of Ultrasonography
关键词
超声检查
介入性
冠状动脉造影术
造影剂
Ultrasonography, interventional,\ \ Coronary angiography\ \ Contrast media
