OCT技术诊断冠脉易损斑块破裂1例  

A case of coronary vulnerable ruptured plaque detected by optical coherence tomography

作　　者：严金川[1] 梁仪[1] 陈小节[1] 李权[1] 

机构地区：[1]江苏大学附属医院心内科,江苏镇江212001

出　　处：《临床心血管病杂志》2015年第8期915-917,共3页Journal of Clinical Cardiology

基　　金：国家临床重点专科建设项目(2011);镇江市心血管病重点实验室(No:SS2012002)

摘　　要：1病例资料患者,男,72岁,因反复加重的静息情况下胸痛1周,于2013-04-16入院,该患者于8个月前在我院心内科因心绞痛行冠脉造影检查显示：前降支（LAD）弥漫长病变,最重狭窄90%,左回旋支慢性闭塞病变,右冠状动脉未见明显狭窄,行LAD冠状动脉介入（PCI）治疗,植入3枚药物支架,一直规范双联抗血小板等药物治疗。The clinical manifestation was accelerated angina in this patient with coronary vulnerable ruptured plaque. Conventional coronary angiography and intravascular ultrasound（IVUS） was unable to identify the lesion and optical coherence tomography （OCT） was required to obtain clearer images that helped to confirm the diagno- sis. A ruptured with thin-cap fibroatheroma plaque was found in the proximal right coronary artery using OCT.

关 键 词：急性冠脉综合征 不稳定斑块 光学相干断层成像 

分 类 号：R541.4[医药卫生—心血管疾病]