Three-dimensional-optical coherence tomography imaging of chronic thromboembolic pulmonary hypertension.
Three-dimensional-optical coherence tomography imaging of chronic thromboembolic pulmonary hypertension.
复制标题
慢性血栓栓塞性肺动脉高压的三维光学相干断层扫描成像。
DOI：
10.1093/eurheartj/eht203
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Koichiro Sugimura
中科院分区：
文献类型：
--
作者：
中村徹、鳥村拓司;他;Shunsuke Tatebe;Koichiro Sugimura
慢性血栓栓塞性肺动脉高压（CTEPH）是由肺动脉（PA）中未解决的血栓栓塞引起的。我们以前已经证明了光学相干断层扫描（OCT）诊断CTEPH的有用性。一名56岁的日本女性被诊断为CTEPH，通过计算机断层扫描检测到PA血栓，并通过右心导管插入术检测到毛细血管前肺动脉高压（平均PA压力46 mmHg，肺动脉楔压13 mmHg）。在该患者中，我们进行了三维（3D）-OCT成像，以观察未解决的PA血栓栓塞，其清楚地显示了皮瓣和网状结构（图A;补充数据），表明3D-OCT对诊断CTEPH的有用性。
Chronic thromboembolic pulmonary hypertension (CTEPH) is caused by unresolved thromboemboli in the pulmonary arteries (PAs). We have previously demonstrated the usefulness of optical coherence tomography (OCT) to diagnose CTEPH. A 56-year-old Japanese woman was diagnosed as CTEPH with PA thrombus detected by computed tomography and pre-capillary pulmonary hypertension (mean PA pressure 46 mmHg, pulmonary artery wedge pressure 13 mmHg) by right heart catheterization. In this patient, we performed three-dimensional (3D)-OCT imaging in order to observe the unresolved PA thromboemboli, which clearly showed flaps and meshwork (Panel A; Supplementary Data), indicating the usefulness of 3D-OCT for the diagnosis of CTEPH.