冠状动脉内旋磨术并发无复流的研究进展  

Research advances in coronary rotational atherectomy complicated by no-reflow phenomenon

作　　者：吴永新 陈曼华[1] WU Yong-xin;CHEN Man-hua(Department of Cardiology,The Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science And Technology,Wuhan 430014,China)

机构地区：[1]华中科技大学同济医学院附属武汉中心医院心内科,湖北省武汉市430014

出　　处：《中国心血管病研究》2022年第7期650-655,共6页Chinese Journal of Cardiovascular Research

摘　　要：冠状动脉内旋磨术(rotational atherectomy,RA)是当前处理冠状动脉严重钙化病变的必要技术之一,无复流是冠状动脉旋磨术中常见的并发症之一,术中发生无复流对患者安全产生严重影响。本文针对冠状动脉旋磨并发无复流的机制、旋磨并发无复流相关危险因素、特殊病变旋磨并发无复流情况、旋磨术与其他冠状动脉介入技术相比并发无复流情况、旋磨术中预防无复流的策略和技巧、旋磨术并发无复流的药物治疗及非药物治疗六方面做一综述。Rotational atherectomy(RA)is one of the necessary techniques for the treatment of severe calcification of the coronary artery and no-reflow is one of the common complications in RA.The occurrence of no-reflow during surgery has a serious impact on patient safety.In this paper,the mechanism of no-reflow,the risk factors associated with no-reflow,recurrence of no-reflow during grinding specific lesions,the complication of no reflow of RA compared with the other coronary interventional techniques,the strategies and techniques of preventing no-reflow in RA,as well as the drug therapy and non-drug treatment of no-reflow are summarized,hoping to be helpful to operators in surgery.

关 键 词：冠状动脉内旋磨术 并发症 无复流 

分 类 号：R541.4[医药卫生—心血管疾病]