[1]刘凡 杨树森.血流储备分数指导冠状动脉再血管化的相关进展[J].心血管病学进展,2019,(5):797-800.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.033]
 LIU FanYANG Shusen.The Relevant Grogress of FFR-Guided Coronary Revascularization[J].Advances in Cardiovascular Diseases,2019,(5):797-800.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.033]
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血流储备分数指导冠状动脉再血管化的相关进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2019年5期
页码:
797-800
栏目:
综述
出版日期:
2019-08-25

文章信息/Info

Title:
The Relevant Grogress of FFR-Guided Coronary Revascularization
作者:
刘凡 杨树森
(1.哈尔滨医科大学研究生院,黑龙江 哈尔滨 150000;2.哈尔滨医科大学附属第一医院心血管内科,黑龙江 哈尔滨 150000)
Author(s):
LIU Fan1YANG Shusen2
Harbin Medical University Graduate schoolHarbin 150000Heilongjiang China2.Department of CardiologyThe First Affiliated Hospital of Harbin Medical UniversityHarbin 150000HeilongjiangChina)
关键词:
冠心病冠状动脉造影血管内超声血流储备分数
Keywords:
Coronary artery diseaseCoronary angiographyIntravascular ultrasonographyFractional flow reserve
DOI:
10.16806/j.cnki.issn.1004-3934.2019.05.033
摘要:
冠状动脉疾病患者的再血管化应该建立在客观的可诱导的心肌缺血证据基础之上然而在目前冠状动脉疾病患者的治疗决策中,仍以解剖学评估为主导。解剖学评估的狭窄病变是否存在功能性缺血需要更多的功能学评价工具来说明近年来,基于缺血的冠状动脉再血管化策略在临床中已经被大多数专家所,单纯冠状动脉造影术已远远不能满足临床医师的需求。血流储备分数是目前公认评价心肌缺血最特异性的侵入性指标。本文回顾了血流储备分数的生理学原理及其临床应用,介绍了冠脉病变严重程度的解剖学及功能学评价方法及其不一致性,并且详细描述了血流储备分数指导冠状动脉再血管化的相关新进展。
Abstract:
The revascularization of coronary artery disease patients should be based on objective myocardial ischemia can be induced. However, anatomical evaluation is still the dominant factor in the current treatment decision of CAD patients. Whether functional ischemia exists in the stenosis of anatomical evaluation needs more functional evaluation tools to explain.In recent years, based on the strategy for ischemia of coronary artery revascularization has been accepted by most of experts in the clinical, apparently simple coronary artery angiography cannot satisfy the needs of clinical physicians. Fractional flow reserve (FFR) is the most specific invasive index to evaluate myocardial ischemia. This review aim to illustrate the physiological principle and clinical application of FFR, introduces the anatomy and functional evaluation methods of severity of coronary artery disease and their inconsistencies, and describes the new progress of FFR in guiding coronary artery revascularization in detail.

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更新日期/Last Update: 2019-12-25