Applications of multislice coronary computed tomographic angiography to percutaneous coronary intervention: How did we ever do without it?

Applications of multislice coronary computed tomographic angiography to percutaneous coronary intervention: How did we ever do without it?
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DOI:
10.1002/ccd.21427
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发表时间:
2008-03-01
影响因子:
2.3
通讯作者:
Hecht, Harvey S.
Hecht, Harvey S.
中科院分区:
医学3区
文献类型:
--
作者:
Hecht, Harvey S.

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通过提供以前只能通过血管内超声获得的数据,64层多探测器计算机断层血管造影(CTA)将在多个领域影响经皮冠状动脉介入治疗(PCI):(1) PCI前患者选择;(2)重大病变的识别;(3)支架内再狭窄;(4)手术计划:支架的尺寸,介入治疗的选择,设备,慢性全闭塞,导管实验室的3D-CTA;(5)斑块评估和高危病变识别;(6)导管插入术后的决定;(7)结构性心脏病。可能的结果是将导管实验室转变为一个精简的介入套件,利用交互式格式的在线CTA数据。(C) 2008 Wiley-Liss, Inc。
By providing data previously available only by intravascular ultrasound, 64-slice multidetector computed tomographic angiography (CTA) will impact percutaneous coronary intervention (PCI) in multiple areas: (1) pre-PCI patient selection; (2) identification of significant lesions; (3) in-stent restenosis; (4) procedure planning: stent sizing, choice of intervention, and equipment, chronic total occlusions, 3D-CTA in the catheterization laboratory; (5) plaque evaluation and identification of high-risk lesions; (6) postcatheterization decisions, and (7) structural heart disease. The likely outcome is transformation of the catheterization laboratory into a streamlined interventional suite, utilizing on-line CTA data in an interactive format. (C) 2008 Wiley-Liss, Inc.