Dedicated bifurcation analysis: basic principles

Dedicated bifurcation analysis: basic principles
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DOI:
10.1007/s10554-010-9795-9
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发表时间:
2011-02-01
影响因子:
2.1
通讯作者:
Reiber, Johan H. C.
Reiber, Johan H. C.
中科院分区:
医学4区
文献类型:
--
作者:
Tuinenburg, Joan C.;Koning, Gerhard;Reiber, Johan H. C.

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在过去的几年里,人们对分岔支架术产生了极大的兴趣,特别是受到欧洲分岔俱乐部的刺激。传统的QCA直管分析已经不能满足这种复杂形态的要求。为了提出切实可行的解决方案,我们开发了两个模型,一个是y形模型,一个是t形模型,根据冠状动脉分岔的具体解剖结构,适用于分岔QCA分析。本文描述了这些模型的原理,以及在临床材料上进行的验证研究的结果。可以得出结论,这些新的分岔分析的准确性,精密度和适用性符合多年前为传统qca分析设定的一般准则。
Over the last several years significant interest has arisen in bifurcation stenting, in particular stimulated by the European Bifurcation Club. Traditional straight vessel analysis by QCA does not satisfy the requirements for such complex morphologies anymore. To come up with practical solutions, we have developed two models, a Y-shape and a T-shape model, suitable for bifurcation QCA analysis depending on the specific anatomy of the coronary bifurcation. The principles of these models are described in this paper, as well as the results of validation studies carried out on clinical materials. It can be concluded that the accuracy, precision and applicability of these new bifurcation analyses are conform the general guidelines that have been set many years ago for conventional QCA-analyses.