冠状动脉功能学衍生技术的应用场景与发展方向  

Application scenarios and prospects of coronary functional derived techniques

作　　者：聂绍平[1] 徐洋 王晓[1] NIE Shaoping;XU Yang;WANG Xiao(Beijing Anzhen Hospital,Capital Medical University,Beijing,100029,China)

机构地区：[1]首都医科大学附属北京安贞医院,北京100029

出　　处：《临床心血管病杂志》2022年第5期347-351,共5页Journal of Clinical Cardiology

基　　金：北京市科技新星项目(No:Z201100006820087);北京市科技新星计划交叉学科合作项目(No:Z211100002121165)。

摘　　要：冠状动脉功能学评估是经皮冠状动脉介入治疗(PCI)临床决策的主要依据。血流储备分数(FFR)是功能学评估的金标准,但限于操作复杂、耗时长等原因,其临床应用十分有限。随着计算流体力学的发展,基于影像衍生的功能学指标(CT-FFR、QFR、caFFR、caIMR等)应运而生,其无创、高效且诊断准确率较高,在介入术前评估和术中指导中逐渐体现出优势。本文将介绍不同功能学衍生技术的应用场景,并对影像与功能学联合应用的价值进行展望。Coronary function assessment has become the cornerstone of clinical decision-making in percutaneous coronary intervention(PCI). Fractional flow reserve(FFR) is the gold standard for functional assessment, but its clinical application is limited due to the complicated and time-consuming procedure. With the development of computational fluid dynamics technology, imaging-derived functional indicators(CT-FFR, QFR, caFFR, caIMR, etc.) have emerged, which are non-invasive, efficient and have high diagnostic accuracy, and have advantages in pre-assessment and guidance of PCI. This article will introduce the application scenarios of different functional derived techniques, and discuss the value of the combined use of imaging and functional techniques.

关 键 词：冠状动脉疾病 血流储备分数 CT-FFR QFR caFFR caIMR 

分 类 号：R541.4[医药卫生—心血管疾病]