冠狀動脈支架術後再狹窄發生機制的血管內超聲觀察

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冠狀動脈支架術後再狹窄發生機制的血管內超聲觀察
作者:李俊峽,鷹津良樹,宮本忠司,永井康三,加藤貴雄
【關鍵詞】 超聲檢查,介入性;冠狀血管造影術;冠狀動脈再狹窄;支架
【Abstract】 AIM: To investigate the instent restenosis process by coronary artery angiography (CAG) and intravascular ultrasound(IVUS). METHODS: The study consisted of 92 patients with 118 stents(LAD53, LCX32, RCA33). Followup CAG and IVUS were performed 6 months after stent placement. There were 39 stents with and 79 stents without instent restenosis by CAG. The reference areas, minimal stent crosssectional areas(CSA), minimal stent luminal CSA, intimal hyperplasia CSA, stent lumen and intimal hyperpla volume were measured by IVUS. RESULTS: Reference areas, minimal stent CSA and stent volume had no significant differences between restenotic and nonrestenotic stents(P