The Coronary Intravascular Lithotripsy System.
The Coronary Intravascular Lithotripsy System.
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DOI：
10.15420/icr.2019.18.r1
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发表时间：
2019-11-01
期刊：
影响因子：
--
通讯作者：
Daemen, Joost
中科院分区：
文献类型：
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作者：
Forero, Maria Natalia Tovar;Daemen, Joost
钙化病变通常意味着经皮介入治疗效果不理想，并增加手术并发症和未来不良事件的风险。现有的斑块修饰装置依赖于组织压缩或减压，目的是粉碎钙并促进最佳支架部署。相比之下，冠状动脉血管内碎石术提供无聚焦的、圆周的、脉动的机械能，以安全地破坏目标病变内的钙。本综述总结了迄今为止关于这种疗法的证据，并包括对冲击波血管内碎石系统（冲击波医学）的组成和功能的实际描述。
Calcified lesions often mean percutaneous intervention results are suboptimal and increase the risk of procedural complications and future adverse events. Available plaque-modifying devices rely on tissue compression or debulking, with the intention of fracturing calcium and facilitating optimal stent deployment. In contrast, coronary intravascular lithotripsy delivers unfocused, circumferential, pulsatile mechanical energy to safely disrupt the calcium within the target lesion. The present review summarises the evidence available so far on this therapy and includes a practical description of the components and function of the Shockwave Intravascular Lithotripsy System (Shockwave Medical).