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使用IVUS及OCT观察药物涂层支架植入术后冠状动脉瘤样扩张1例 被引量：3

Coronary artery aneurysms after drug eluting stent implantation evaluated with intravascular ultrasound and optical coherence tomography
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摘要 1病例资料 患者,男,65岁,冠状动脉（冠脉）支架植入术后3年,再发胸痛10d于2015-02-22入院。患者于3年前因胸痛4h至我院就诊,心电图提示Ⅱ、Ⅲ、AVF导联ST段呈弓背向上抬高,于我科行急诊冠脉造影示前降支及回旋支近端均为完全闭塞病变,并可见右冠至前降支侧支循环形成,rentrope血流3级,结合心电图改变,考虑此次罪犯血管系回旋支,遂于回旋支植入Nano 3.5mm×18.0mm支架1枚,1个月后至我科行完全血运重建，于前降支植入partner2．75mm×29．00mm支架1枚（图1），术后规律服用阿司匹林（100mg／d）及氯吡格雷（75mg／d）双重抗血小板、琥珀酸美托洛尔（47．5mg／d）、贝那普利（10mg／d）、阿托伐他汀（40mg／d）治疗。 Optical coherence tomography（OCT）is a high-resolution intracoronary arterial imaging modality.We report a 65-year-old patient who suffered acute myocardial infarction two times and received stent implantation three times during past 3 years.We did CAG,IVUS and OCT to examine the LAD lesion.OCT clearly demonstrated thrombus,stenosis and coronary artery aneurysms in the culprit lesion.
作者 龚韧 徐劲松 黄晓 徐聪聪 郭俊 吴清华 程晓曙 吴延庆
机构地区 南昌大学第二附属医院心内科 南昌大学
出处 《临床心血管病杂志》 CAS CSCD 北大核心 2016年第2期209-212,共4页 Journal of Clinical Cardiology
关键词 再狭窄 冠状动脉瘤样扩张 光学相干断层扫描 血管内超声 restenosis coronary artery aneurysms optical coherence tomography intravascular ultrasound
分类号 R541 [医药卫生—心血管疾病]
  • 相关文献

参考文献19

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二级参考文献5

  • 1Jang IK, Tearney GJ, MacNeill B, et al. In vivo characterization of coronary atherosclerotic plaque by use of optical coherence tomography. Circulation,2005,111 : 1551-1555.
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共引文献8

同被引文献21

引证文献3

二级引证文献7

临床心血管病杂志
2016年 第2期

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