| 3例急性冠脉综合征患者CTA、冠脉造影及OCT对比 |
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| 引用本文： | 蒋博,盖鲁粤,陈韵岱,李萍,王志国,孙志军.3例急性冠脉综合征患者CTA、冠脉造影及OCT对比[J].军医进修学院学报,2010,31(4):407-408,F0003. |
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| 作者姓名： | 蒋博 盖鲁粤 陈韵岱 李萍 王志国 孙志军 |
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| 作者单位： | 解放军总医院,心内科,北京,100853 |
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| 基金项目： | 国家“十一·五”科技支撑计划(2006BAI01A02)~~ |
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| 摘 要： | 目的了解急性冠脉综合征患者冠脉CTA、冠脉造影、OCT的表现。方法急性冠脉综合征患者3例，在行冠脉造影前均行64排CT（SomatomDefinition）冠脉CTA检查，明确罪犯病变；常规冠状动脉造影后行OCT检查（Lightlab），分别分析冠脉CT、冠脉造影和OCT影像学结果。结果冠脉CTA均提示为软斑块，斑块最低CT值均小于100Hu，1例伴有轻度钙化，斑块负荷较重，均呈正性重构；OCT示2例有极薄的纤维帽（分别为501J,ITI和401zm），纤维帽后有大的脂核。结论冠脉CTA对于血管壁较宏观的观察较有优势，冠脉造影可以动态观察血管的情况，OCT可细致观察血管壁、斑块和血栓。
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| 关 键 词： | 急性冠状动脉综合征 冠脉CTA 冠状血管造影术 体层摄影术 光学相干 |
Coronary computer tomographic angiography,coronary arteriography and optical coherence tomography for 3 patients with acute coronary syndrome |
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| JIANG Bo,GAI Lu-yue,CHEN Yun-dai,LI Ping,WANG Zhi-guo,SUN Zhi-jun.Coronary computer tomographic angiography,coronary arteriography and optical coherence tomography for 3 patients with acute coronary syndrome[J].Academic Journal of Pla Postgraduate Medical School,2010,31(4):407-408,F0003. |
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| Authors: | JIANG Bo GAI Lu-yue CHEN Yun-dai LI Ping WANG Zhi-guo SUN Zhi-jun |
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| Institution: | JIANG Bo,GAI Lu-yue,CHEN Yun-dai,LI Ping,WANG Zhi-guo,SUN Zhi-junDepartment of Cardiovascular,Chinese PLA General Hospital,Beijing 100853,China |
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| Abstract: | Objective To observe the findings on coronary computer tomographic angiography(CTA), coronary arteriography and optical coherence tomography(OCT) in patients with acute coronary syndrome(ACS). Methods Sixty-four row coronary CTA and OCT were performed to detect lesions in 3 ACS patients before coronary arteriography and after OCT, respectively. The findings on them were analyzed. Resluts Coronary CTA showed soft plaques(which a minimal CT value being less than 100 Hu) complicated by mild calcification in th... |
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| Keywords: | Acute Coronary Syndrome Coronary CTA Coronary Angiography Tomography Optical Coherence |
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