Percutaneous Transluminal Angioscopy During Coronary Intervention

KyoichiMizuno; ShunntaSakai; ShinnyaYokoyama; TakayoshiOhba; RyutaUemura; YasutsuguSeimiya; MasamitsuTakano; JunTanabe; MasatoTomimura; TakahiroImaizumi; Shu MeiMa; ShigenobuInami; KentarouOkamatsu; NoritakeHata

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Percutaneous Transluminal Angioscopy During Coronary Intervention

机译：冠状动脉介入治疗中的经皮腔内血管镜检查

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To investigate the feasibility of angioscopic-guided percutaneoustransluminal coronary angioplasty and to elucidate the mechanismof efficacy of coronary stenting for acute myocardial infarction,we performed coronary angioscopy in 102 patients with stableangina or acute myocardial infarction. Thrombi and intimal flapswere observed in most patients after coronary angioplasty. Largeintimal splits were seen in one third of patients. Stents wereinserted in 10 patients who were revealed to have a large flap orprotruding split to the inner lumen. Thrombolytic agents wereadministered in 2 patients with large thrombi. Additionaltreatments were required in 32% of patients. No acutemyocardial infarction or unstable angina occurred in patientsduring hospitalization. Thus, angioscopy of the coronary lumenenables clinicians to determine the most appropriate and leastrisky coronary intervention strategy. In patients with acutemyocardial infarction, angioscopy revealed occlusive or protrudingthrombi in 34 of 35 patients. The protruding thrombi disappearedafter stenting. The frequency of large intimal flaps increasedafter predilatation with balloon, but these disappeared afterstenting. The present angioscopic study demonstrates that thecoronary stent compresses the occlusive or protruding thrombi andcovers the ruptured thrombogenic plaque Consequently,smooth-surfaced and wide vessel lumen are obtained.

机译：为了研究经血管镜引导的经皮腔内冠状动脉成形术的可行性，并阐明冠状动脉支架置入术对急性心肌梗死的疗效机制，我们对102例稳定型心绞痛或急性心肌梗死患者进行了冠状动脉造影。大多数患者在冠状动脉成形术后均观察到血栓和内膜瓣。在三分之一的患者中看到较大的内膜裂痕。在发现有大皮瓣或向内腔突出的10名患者中插入了支架。 2名大血栓患者使用了溶栓剂。 32％的患者需要额外的治疗。住院期间未发生急性心肌梗塞或不稳定型心绞痛。因此，对冠状动脉可通透性临床医生进行血管镜检查，以确定最合适和最低风险的冠状动脉介入治疗策略。在患有急性心肌梗塞的患者中，35例患者中有34例的血管造影显示了闭塞性或突出性血栓。支架置入后，突出的血栓消失。气囊扩张后大内膜瓣的发生频率增加，但在支架置入后消失。目前的血管镜研究表明，冠状动脉支架可压缩闭塞性或突出性血栓并覆盖破裂的血栓形成斑块。因此，可获得平滑且宽阔的血管腔。

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《Diagnostic and therapeutic endoscopy》 |2000年第1期|共6页
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KyoichiMizuno; ShunntaSakai; ShinnyaYokoyama; TakayoshiOhba; RyutaUemura; YasutsuguSeimiya; MasamitsuTakano; JunTanabe; MasatoTomimura; TakahiroImaizumi; Shu MeiMa; ShigenobuInami; KentarouOkamatsu; NoritakeHata;
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专利

1. Haziness on coronary angiogram after percutaneous transluminal coronary angioplasty evaluated with angioscopy. [J] . Kanamasa K, Ishikawa K Angiology: the Journal of Vascular Diseases . 2002,第2期

机译：经皮腔内冠状动脉成形术后，通过血管镜检查评估冠状动脉造影的模糊性。
2. TCT-192 The comparison of healing 1-month and 1-year after percutaneous coronary intervention among cobalt chromium everolimus eluting stent(EES), biodegradable polymer(BP)-EES and BP-sirolimus eluting stent:Insights from optical coherence tomography and coronary angioscopy [J] . Takao Sato, Yuji Taya, Yuta Sakaguchi, Journal of the American College of Cardiology . 2018,第13期

机译：TCT-192在钴铬血管摩托柑橘植物中经皮冠状动脉干预后1个月和1岁的比较，洗脱支架（EES），可生物降解的聚合物（BP）和BP-Sirolimus洗脱支架：光学相干断层摄影和冠状动脉血管镜检查的见解
3. TCT-192 The comparison of healing 1-month and 1-year after percutaneous coronary intervention among cobalt chromium everolimus eluting stent(EES), biodegradable polymer(BP)-EES and BP-sirolimus eluting stent:Insights from optical coherence tomography and coronary angioscopy [J] . Takao Sato, Yuji Taya, Yuta Sakaguchi, Journal of the American College of Cardiology . 2018,第13期

机译：TCT-192在钴铬血管摩托柑橘植物中经皮冠状动脉干预后1个月和1岁的比较，洗脱支架（EES），可生物降解的聚合物（BP）和BP-Sirolimus洗脱支架：光学相干断层摄影和冠状动脉血管镜检查的见解
4. Percutaneous transluminal angioscopy of the pulmonary artery [C] . Tomomitsu Oshima, M.D., Funabashi-Futawa Hospital, Optical Fibers in Medicine VIII . 1993

机译：肺动脉经皮腔内血管镜检查
5. Restenotic outcomes and medical care costs following percutaneous transluminal coronary angioplasty with and without stent. [D] . Sen, Shuvayu Sankar. 2001

机译：在有或没有支架的情况下进行经皮腔内冠状动脉成形术后的再狭窄结果和医疗费用。
6. Percutaneous Transluminal Angioscopy During Coronary Intervention [O] . Kyoichi Mizuno, Shunnta Sakai, Shinnya Yokoyama, 2000

机译：冠状动脉介入治疗中的经皮腔内血管镜检查
7. ACC/AHA guidelines for percutaneous coronary intervention (revision of the 1993 PTCA guidelines)—executive summary21When citing this document, the American College of Cardiology and the American Heart Association would appreciate the following citation format: Smith SC, Jr, Dove JT, Jacobs AK, Kennedy JW, Kereiakes D, Kern MJ, Kuntz RE, Popma JJ, Schaff HV, Williams DO. ACC/AHA guidelines for percutaneous coronary intervention: executive summary and recommendations: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1993 Guidelines for Percutaneous Transluminal Coronary Angioplasty). J Am Coll Cardiol 2001;37:2215–38.22Address for reprints: a single reprint of this document is available by calling 800-253-4636 (US only) or writing the American College of Cardiology, Educational Services, 9111 Old Georgetown Road, Bethesda, MD 20814-1699. This document (reprint no. 71-0205), as well as the companion full-text guideline (reprint no. 71-0206), are available on the ACC Web site at www.acc.organd the AHA Web site at http://www.americanheart.org. To purchase additional reprints (specify version): up to 999 copies, call 800-611-6083 (US only) or fax 413-665-2671; 1000 or more copies, call 214-706-1466, fax 214-691-6342; or E-mail: pubauth@heart.org. A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee to revise the 1993 guidelines for percutaneous transluminal coronary angioplasty) endorsed by the Society for Cardiac Angiography and Interventions [O] . Smith Sidney C, Dove James T, Jacobs Alice K, 2001

机译：ACC / AHA经皮冠状动脉介入治疗指南（1993 PTCA指南的修订版）—执行摘要21当引用该文件时，美国心脏病学会和美国心脏协会将喜欢以下引用格式：Smith SC，Jr，Dove JT，Jacobs AK ，肯尼迪（Jenneth JW），克雷亚克斯（Keriakes D），克恩（Mern），肯兹（Kuntz）RE，波马（Popma）JJ，沙夫（Schaff）HV，威廉姆斯（Williams）。 ACC / AHA经皮冠状动脉介入治疗指南：摘要和建议：美国心脏病学会/美国心脏协会实践指南工作组的报告（修订1993年经皮腔内冠状动脉血管成形术指南的委员会）。 J Am Coll Cardiol 2001； 37：2215–38.22转载地址：可致电800-253-4636（仅限美国）或写信给美国乔治心脏病学院，教育服务部，旧乔治敦路9111号，获得本文件的单份转载，贝塞斯达，MD 20814-1699。该文档（重印号71-0205）以及随附的全文指南（重印号71-0206）可从ACC网站www.acc.organized上AHA网站http：//上获得。 /www.americanheart.org。要购买其他重印本（指定版本）：最多999份，请致电800-611-6083（仅限美国）或传真413-665-2671；否则，请重新发送。 1000或更多副本，请致电214-706-1466，传真214-691-6342;或电子邮件：pubauth@heart.org。美国心脏病学会/美国心脏协会特别工作组关于实践指南（委员会修改1993年经皮腔内冠状动脉血管成形术指南的报告）的报告得到了心脏血管造影和介入学会的认可

Percutaneous Transluminal Angioscopy During Coronary Intervention

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