非罪犯血管病变的评估及其在血运重建中的作用及研究进展  

Evaluation of Non-Culprit Coronary Lesions and Its Role in Revascularization

作　　者：王章龙 刘瑞麟 张波[1] 周敬群[1] WANG Zhanglong;LIU Ruilin;ZHANG Bo;ZHOU Jingqun(Department of Cardiology,Renhe Hospital,China Three Gorges University,Yichang 443000,Hubei,China)

机构地区：[1]三峡大学附属仁和医院心内科,湖北宜昌443000

出　　处：《心血管病学进展》2023年第9期845-848,852,共5页Advances in Cardiovascular Diseases

基　　金：湖北省卫生健康委员会2019—2020年科研项目(WJ2019F073)。

摘　　要：非罪犯血管病变功能性评估的金标准是血流储备分数,在其指导下的冠状动脉血运重建使冠心病患者临床受益良多。为克服腺苷的副作用和花费昂贵等问题,非充血压力比值、血管造影衍生指标、腔内影像学等更简便的新兴评估指标不断涌现。随着评估技术的进一步发展,在其指导下的血运重建使得患者发生主要不良心血管事件的风险相对降低。现对非罪犯血管病变的新兴评估指标及其血运重建方面的发展进行综述,以期更有效地评估冠心病患者非罪犯血管病变的狭窄严重程度并选择最恰当的血运重建方式,降低患者的主要不良心血管事件风险。The gold standard of functional evaluation of non-culprit coronary lesions(NCCLs) is fractional flow reserve,and its guided revascularization has been of great clinical benefit to patients with coronary heart disease.In order to overcome the side effects of adenosine and its high cost,more convenient emerging evaluation indicators such as non-hyperemic pressure ratio,angiography-derived metrics,and intracavitary imaging are constantly emerging.With the further development of evaluation technology,the revascularization guided by it has relatively reduced the risk of major adverse cardiovascular events in patients.This article reviews the emerging evaluation indicators of NCCLs and their development in revascularization,in order to more effectively evaluate the severity of stenosis in NCCLs patients with coronary heart disease and choose the most appropriate revascularization method to reduce the risk of major adverse cardiovascular events.

关 键 词：非罪犯血管 评估 血运重建 

分 类 号：R541.4[医药卫生—心血管疾病]