我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

冠状动脉室间隔支影像学变异及其临床意义

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2014年第1期
页码:
50-52
栏目:
临床研究
出版日期:
2013-12-02

文章信息/Info

Title:
Variation and clinical significance of interventricular septal branches of coronary artery on angiography
作者:
关怀敏1解金红1陈玉善1罗明华1王 贺1朱明军1胡天勇2
(1.河南中医学院第一附属医院心内科,河南 郑州 450000;2.河南省胸科医院心内科,河南 郑州 450000)
Author(s):
GUAN Huai-min1 JIE Jin-hong1 CHEN Yu-shan1 LUO Ming-hua1 WANG He1 ZHU Ming-jun1 HU Tian-yong2
(1.Department of Cardiology, First Affiliated Hospital, Henan University of TCM, Zhengzhou 450000, Henan, China; 2.Department of Cardiology, Henan Provincial Chest Hospital, Zhengzhou 450000, Henan, China)
关键词:
冠状动脉造影室间隔支肥厚梗阻性心肌病慢性闭塞病变
Keywords:
coronary angiography interventricular septal branches hypertrophic obstructive cardiomyopathy chronic total occlusion
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的:总结冠状动脉室间隔支的影像学特征并探讨其临床意义。方法:从200例冠脉造影正常而具有某些冠心病危险因素的患者、76例肥厚梗阻型心肌病和28例冠心病冠状动脉造影显示右冠状动脉慢性闭塞患者的室间隔支动脉数量、粗细、分布等特点进行分类、相互间比较。结果:肥厚性梗阻型心肌病、冠心病右冠脉慢性闭塞病变(CTO)患者与冠状动脉造影正常患者的室间隔支动脉显影形态无显著性差异;3种疾病之间的室间隔动脉分类中Ⅰ型均占绝对多数(P<0.05,P<0.01)。结论:不同心血管疾病的冠状动脉室间隔支形态、大小、粗细等影像特征相似,可作为右冠状动脉CTO逆行开通的良好途径和肥厚梗阻型心肌病心肌化学消融的靶血管。
Abstract:
AIM:To summarize imaging features of interventricular septal branches of coronary artery and to explore their clinical significance. METHODS: We classified and compared the imaging features of interventricular septal branches (including numbers, dimensions and distribution) from 200 cases of normal coronary angiography with some risk factors of coronary heart diseases, 76 cases of hypertrophic obstructive cardiomyopathy (HOCM) and 28 cases of coronary heart diseases with right coronary chronic total occlusion (CTO). RESULTS: No significant differences were observed in the imaging features of interventricular septal branches between normal cases and cases of HOCM or right CTO, and Type I was the most common (P<0.05, P<0.01). CONCLUSION: The dimensions and distribution in interventricular septal branches of coronary artery are similar in cardiovascular diseases and interventricular septal branches of coronary artery can serve as ideal target vessels for both retrograde approach of right CTO recanalization and percutaneous transluminal septal myocardium ablation in HOCM.

参考文献/References

[1]Prinz C,Farr M,Hering D,et al.The diagnosis and treatment of hypertrophic cardiomyopathy[J].Dtsch Arztebl Int,2011,108(13):209-215.
[2]缪 绯,余志国,刘映峰.Finecross微导管在逆行导丝技术治疗冠状动脉慢性完全闭塞病变中的应用[J].中国介入心脏病学杂志,2011,19(2):65-68.
[3]李晨光,沈 怡,戴宇翔,等.冠状动脉慢性完全闭塞病变侧支循环形成特点及影响因素探讨[J].中国介入心脏病学杂志,2012,20(2):77-82.
[4]关怀敏,解金红,陈玉善,等.肥厚梗阻型心肌病冠状动脉室间隔支影像学变异及其意义[J].中国心血管病研究,2012,10(9):641-643.
[5]骆 峰,刘国华,祁学平.肥厚性心肌病患者左心室形态学改变与QT间期离散度的关系[J].心脏杂志,2007,19(5):582-584.
[6]Saito S.Different stategies of retrograde approach in coronary angioplasty for chronic total occulusion[J].Catheter Cardiovasc Inter,2008,71(1):8-19.
[7]Shirasawa K,Hwanga MW,Sasaki Y,et al.Chronic total occulusion of the lete main coronary artery with normal lefe ventricular motion: The occluded siter confirmed by three dimensional computed tonography[J].Int J Cardiol,2010,139(2):193-195.
[8]王 红,黄 岚,晋 军,等.不同程度狭窄病变冠心病患者介入治疗后心肌灌注变化及临床意义[J].心脏杂志,2007,19(1):45-47.
[9]Kimura M,Katoh O,Tsuchikane E,et al.The Efficacy of a Bilateral Approach for Treating Lesions With Chronic Total Occlusions: The CART (Controlled Antegrade and Retrograde subintimal Tracking) Registry[J].JACC Cardiovasc Interv,2009,2(11):1135-1141.
[10]Surmely JF,Katoh O,Tsuchikane E,et al.Coronary septal collaterals as an access for the retrograde approach in the pereutaneous treatment of coronary chronic total occlusions[J].Catheter Cardiovase Interv,2007,69(6):826-832.

备注/Memo

备注/Memo:
收稿日期:2013-08-01.基金项目:河南省医学科技攻关计划项目资助(200902005) 通讯作者:解金红,副主任医师,主要从事心血管内科疾病的临床及介入治疗研究 Email:xiejinhong01@163.com 作者简介:关怀敏,主任医师,博士 Email:guanhuaimin2004@aliyun.com
更新日期/Last Update: 2014-01-20