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切割球囊血管成形术的作用机制及其在冠心病治疗中的应用(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第1期
页码:
67-69,72
栏目:
综述
出版日期:
2003-01-01

文章信息/Info

Title:
The action mechanisms from cutting balloon angioplasty and its applications for the treatment of coronary heart disease
作者:
周景昱; 李伟杰; 贾国良; 李兰荪
第四军医大学西京医院心血管内科,陕西 西安 710032
Author(s):
ZHOU Jing-yu;  LI Wei-jie;  JIA Guo-liang; LI Lan-sun
Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China
关键词:
切割球囊; 冠状动脉疾病; 腔内血管成形术
Keywords:
cutting balloon;  coronary artery disease;  angioplasty
分类号:
R543.3
DOI:
-
文献标识码:
A
摘要:
经皮腔内冠状动脉成形术后急性冠脉综合征和再狭窄等并发症是困扰冠心病介入治疗效果多年的难题,切割球囊血管扩张术是为解决这一难题出现的众多新技术中的一种。作者就切割球囊的结构、作用机制和临床应用等作一简要综述。
Abstract:
Cutting balloon is a novel balloon angipoplasty device with 3 or 4 microtome sharp metal blades (0.25mm high) mounted longitudinally on the surface of the balloon. The advantage of the cutting balloon is its ability to reduce vessel stretch and vessel injury by scoring the vessel longitudinally rather than causing an uncontrolled disruption of the atherosclerotic plaque, potentially reducing the late injury response compared with plain old balloon angioplasty. The cutting balloon offers a safe and effective alternative in coronary artery lesions, especially in ostial lesions, brifurcations,in stent restenosis, small vessels stenosis and heavily resistant stenoses.

参考文献/References

[1] Eltchaninoeeff H. Curative treatment of restenosis [J] . Arch Mal Coeur Vaiss, 1999, 92(11 suppl):1589-1593.

[2] Kojima A, Suzuki T, Hosokawa H, et al. Comparison of remodeling patterns after cutting balloon angioplasty, directional coronary atheretomy, and plain old balloon angioplasty by using IVUS [J] . Jpn Circ, 1999, (Abstract):0615.

[3] Yamamoto K, Kamibatake, Haneda, Masaki, et al. Different patterns of endthellal injury after cutting balloon angioplasty and plain old balloon angioplasty analysis by von willbrand factor [J] . Jpn Circ, 1999, (Abstract):P101.

[4] Muramatsu T, Tsukahara R, Ho M, et al. Efficacy of cutting balloon angioplasty for lesions at the ostium of the coronary arteries [J] . J Invasive Cardiol, 1999, 11:201-206.

[5] Nakamura M, Yamamoto M, Suzuki T, et al. Cutting balloon angioplasty priorto stenting is a useful strategy for the reduction of stent restenosis [J] . J Am Coll Cradiol, 1999, 33(2)(SupplA):83A.

[6] Muramatsu T, Tsukahara R, Ho M, et al. Efficacy of cutting balloon angioplasty forin-stentrestenosis: anintravascular ultrasound evaluation [J] . J Invasive Cardiol, 2001, 13:439-444.

[7] Albiero R, Nishida T, Karvouni E, et al. Cutting balloon angioplasty for the treatment of in-stentrestenosis [J] .Catheter Cardiovasc Interv, 2000, 50(4):452-459.

[8] Izumi M, Tsuchikane E, Funamoto M, et al. One year clinical and 3- month angiographic follow-up of cutting balloon angioplasty versus plain old balloon angioplasty randomized study in small coronary artery(CAPAS) [J] . J Am Coll Cradiol, 1999, 33(SupplA):47A.

[9] 李保, 史世平, 邱龄, 等. 冠状动脉内切割球囊成形术应用的初步体会 [J] . 山西医药杂志, 2000, 29:275-277.

[10] Lznmi M, Nakaoka Y, Otsuji S, et al. Predictor of restenosis after cutting balloon angioplasty and plain old balloon angioplasty in small coronary arteries: Results of the CAPAS study [J] . Circulation, 1999, 100(SupplI):1596.

[11] Izumi, Tsuchikane, Azuma, et al. Analysis of predictive factors of restenosis after cuttin gballoon angioplasty from clinical, angiographic, and IVUS findings [J] . Jpn Circ, 1999, (Abstract):0811.

[12] Hosokawa H, Suzuki T. REDUCE trial (multicenter randomized trail for Cutting Balloon) Acute results (Final report) [J] . Jpn Circ, 1999, (Abstract):0845.

[13] Dominguez J, Rodriguez JA, G(mez)Recio M, et al. Cutting balloon vs conventional balloon angioplasty. Subgroup analysis of a prospective and randomized trial(CUBA) [J] . J Am Coll Cradiol, 1999, 33(2)(SupplA):48A

备注/Memo

备注/Memo:
收稿日期：2001-12-27.
更新日期/Last Update: 2003-01-01