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    题名 作者 年代 出处 被引量
1冠状动脉内影像学临床应用专家共识(第一部分):对冠状动脉介入治疗的指导与优化显示文摘欧洲心血管介入协会(EAPCI)专家组系统总结了血管内超声(IVUS)和光学相干断层成像(OCT)这两种血管内影像学检查临床应用指征的现有证据,提供了关于IVUS和OCT指导经皮冠状动脉介入治疗(PCI)的应用价值,并明确了最可能从腔内影像学指导的介入治疗中获得临床收益的患者或病变类型,同时详细论述了PCI前如何使用IVUS或OCT优化支架尺寸(支架长度和直径)和手术策略的选择。此外,专家推荐对支架失败(支架内再狭窄或支架内血栓形成)的患者应常规进行冠状动脉内影像学检查,并首选OCT。最后,重点论述了IVUS和OCT在指导PCI和评估支架失败两个方面的优势和局限性,并对未来需要深入研究的领域进行了展望。Lorenz Raber Gary S Mintz Konstantinos C Koskinas Thomas W Johnson Niels R Holm Yoshinubo Onuma Maria D Radu Michael Joner Bo Yu Haibo Jia Nicolas Meneveau Jose M.de la Torre Hemandez Javier Escaned Jonathan Hill Francesco Prati Antonio Colombo Carlo di Mario Evelyn Regar Davide Capodanno William Wijns Robert A Byme Giulio Guagliumi 2019中华心血管病杂志2019,47,1:17
2Determinants of percutaneous coronary intervention success in repeat chronic total occlusion procedures following an initial failed attempt显示文摘AIM To investigate the rates and determinants of success of repeat percutaneous coronary intervention(PCI) following an initial failed attempt at recanalising the chronic total occlusions(CTO) percutaneously.METHODS In 445 consecutive first attempt CTO-PCI procedures in our institution,procedural failure occurred in 149(33.5%). Sixty-four re-PCI procedures were performed in 58 patients(39%) all had a single CTO. Procedural and outcome data in the re-PCI population was entered into the institutional database. A retrospective analysis of clinical,angiographic and procedural data was performed. RESULTS Procedural success was achieved in 41(64%) procedures. Univariate analysis of clinical and angiographic characteristics showed that re-PCI success was associated with intravascular ultrasound(IVUS) guidance(19.5% vs 0%,P = 0.042),while failure was associated with severecalcification(30.4% vs 9.7%,P = 0.047) and a JCTO score > 3(56.5% vs 17.1% P = 0.003). Following multiple regression analysis the degree of lesion complexity(J-CTO score > 3),IVUS use,involvement of an experienced CTO operator and LAD CTO location were significant predictors of successful re-PCI. Overall the complication rate was low,with the only MACCE two periprocedural MI's neither of which required intervention. CONCLUSION Re-PCI substantially increases the overall success rate of CTO revascularization. Predictors of re-PCI success included the use of IVUS,the involvement of an experienced CTO operator in the repeat attempt and the location of the CTO.Cecilia Cuevas Nicola Ryan Alicia Quirós Juan Gustavo Del Angel Nieves Gonzalo Pablo Salinas Pilar Jiménez-Quevedo Luis Nombela-Franco Ivan Nunez-Gil Antonio Fernandez-Ortiz Carlos Macaya Javier Escaned 2017World Journal of Cardiology2017,9,4:5
3欧洲和中国的心脏与肾脏远程缺血预适应研究:一项随机对照试验显示文摘远程缺血预适应(remote ischemic preconditioning,RIPC)对经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后造影剂肾病(contrast-induced nephropathy,CIN)的潜在保护作用尚待确定。该研究为双盲、随机、安慰剂对照的多中心研究,纳入年龄〈85岁,肾清除率为30~60mL/(min·1.73m^2)的有临床适应证的患者,除了直接PCI外均按1∶1给予RIPC或标准治疗。主要终点是CIN的发生率。次要终点是围手术期心肌梗死(peri-procedural myocardial infarction,PMI)的发生率。刘青 叶鹏 Moretti C Cerrato E Cavallero E Lin S Rossi ML Picchi A Sanguineti F Ugo F Palazzuoli A Bertaina M Presbitero P Shao-Liang C Pozzi R Giammaria M Limbruno U Lefèvre T Gasparetto V Garbo R OmedèP Sheiban I Escaned J Biondi-Zoccai G Gaita F Perl L D'Ascenzo F 2018中华高血压杂志2018,26,4:3
4Coronary angiography findings in cardiac arrest patients with non-diagnostic post-resuscitation electrocardiogram:A comparison of shockable and non-shockable initial rhythms显示文摘AIM To investigate the impact of coronary artery disease in a cohort of patients resuscitated from cardiac arrest with non-diagnostic electrocardiogram.METHODS From March 2004 to February 2016, 203 consecutive patients resuscitated from in or out-of-hospital sudden cardiac arrest and non-diagnostic post-resuscitation electrocardiogram(defined as ST segment elevation or pre-sumably new left bundle branch block) whounderwent invasive coronary angiogram during hospitalization were included. For purpose of analysis and comparison, patients were classified in two groups: Initial shockable rhythm(ventricular tachycardia or ventricular fibrillation; n = 148, 72.9%) and initial non-shockable rhythm(n = 55, 27.1%). Baseline characteristics, coronary angiogram findings including Syntax Score and long-term survival rates were compared. RESULTS Sudden cardiac arrest was witnessed in 95.2% of cases, 66.7% were out-of-hospital patients and 72.4% were male. There were no significant differences in baseline characteristics between groups except for higher mean age(68.1 years vs 61 years, P = 0.001) in the nonshockable rhythm group. Overall 5-year mortality of the resuscitated patients was 37.4%. Patients with non-shockable rhythms had higher mortality(60% vs 29.1%, P < 0.001) and a worst neurological status at hospital discharge based on cerebral performance category score(CPC 1-2: 32.7% vs 53.4%, P = 0.02). Although there were no significant differences in global burden of coronary artery disease defined by Syntax Score(mean Syntax Score: 10.2 vs 10.3, P = 0.96) there was a trend towards a higher incidence of acute coronary lesions in patients with shockable rhythm(29.7% vs 16.4%, P = 0.054). There was also a higher need for ad-hoc percutaneous coronary intervention in this group(21.9% vs 9.1%, P = 0.03). CONCLUSION Initial shockable group of patients had a trend towards higher incidence of acute coronary lesions and higher need of ad-hoc percutaneous intervention vs nonshockable group.Pedro Martínez-Losas Pablo Salinas Carlos Ferrera María Teresa Nogales-Romo Francisco Noriega María Del Trigo Iván Javier Núnez-Gil Luis Nombela-Franco Nieves Gonzalo Pilar Jiménez-Quevedo Javier Escaned Antonio Fernández-Ortiz Carlos Macaya Ana Viana-Tejedor 2017World Journal of Cardiology2017,9,8:3
5Disturbed coronary hemodynamics in vessels with intermediate stenoses evaluated with fractional flow reserve:a combined analysis of epicardial and microcir-culatory involvement in ischemic heart disease显示文摘ECHAVARRIA-PINTO M ESCANED J MACIASE 2013Circulation2013,128,:1
6Diastolic dysfunction in diabetic patients assessed with Doppler echo- cardiography: relationship with coronary atherosclerotic burden and microcirculatory impairment 显示文摘Escaned J Colmenarez H Ferrer MC 2009Rev Esp Car- diol2009,62,12:1
7Morphometric assess- ment of coronary stenosis relevance with optical coherence tomography: a comparison with fractional flow reserve and intra- vascular ultrasound 显示文摘Gonzalo N Gonzalo N Escaned J 2012J Am Coil Cardiol2012,59,:1
8Functional guidance with FFR: an effective and safe way to simplify percutaneous treatment of coronary bifurcations 显示文摘Escaned J Koo BK 2012EuroIntervention2012,7,10:1
9Technologic considerations and practial limitations in the use of quantitative angiography during percuta neous coronary recanalization显示文摘 Escaned J Foley DP 1994Prog Cardiovasc Dis1994,36,34:1
10Development and validation ofa new adenosine - independent index of stenosis severity from coro-nary wave - intensity analysis : results of the ADVISE (ADenosineVasodilator Independent Stenosis Evaluation) study 显示文摘Sen S Escaned J Malik IS 2012J AmColl Cardiol2012,59,15:1
11Development and validation ofa new adenosine-independent index of stenosis severity fromcoronary wave-intensity analysis : results of the ADVISE(ADenosine Vasodilator Independent Stenosis Evaluation) study显示文摘Sen S Escaned J Malik IS 2012J Am Coll Cardiol2012,59,:1
12Morphometric assessment of coronary stenosis relevance with optical coherence tomography: a comparison with fractional flow reserve and intravascular ultrasound 显示文摘Gonzalo N Gonzalo N Escaned J 2012J Am Coll Cardiol2012,59,:1
13Development and validation of a new adenosine-independent index of stenosis severity from coronary wave-intensity analysis : results of the ADVISE ( A- Denosine Vasodilator Independent Stenosis Evaluation) study 显示文摘Sen S Escaned J Malik IS 2012J Am CoU Cardiol2012,59,:1
14Propensity and mechanisms of restenosis in different coronary stent designs:complementary value of the analysis of luminal gain-loss relationship显示文摘Escaned J Goicolea J Alfonso F 1999J Am Coll Cardiol1999,34,5:1
15Propensity and mechanisms of restenosis in different coronary stent designs:complementary value of the analysis of the luminal gain-loss relationship显示文摘Escaned J Goicolea J Alfonso F 1999J Am Coll Cardiol1999,34,5:1
16Classification performance ofinstantaneous wave - free ratio (iFR) and fractional flow reserve ina clinical population of intermediate coronary stenoses : results ofthe ADVISE registry 显示文摘Petraco ft Escaned J Sen S 2013Eurolntervention2013,9,1:1
17Prospective Assessment of the Diagnostic Accuracy of InstantaneousWave - Free Ratio to Assess Coronary Stenosis Relevance : Resultsof ADVISE II International, Multicenter Study (ADenosine Vaso-dilator Independent Stenosis Evaluation II ) 显示文摘Escaned J Echavarria - Pinto M Garcia - Garcia HM 2015JACC CardiovaseInterv2015,8,6:1
18Morphometric assessment of coronary stenosis relevance with optical coherence tomography显示文摘Gonzalo N Escaned J Alfonso F 0,,12:1
19ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD显示文摘Lars Rydén Peter J. Grant Stefan D. Anker Christian Berne Francesco Cosentino Nicolas Danchin Christi Deaton Javier Escaned Hans-Peter Hammes Heikki Huikuri Michel Marre Nikolaus Marx Linda Mellbin Jan Ostergren Carlo Patrono Petar Seferovic Miguel Sousa 2013European Heart Journal2013,,39:1
20Pleural effusion following coronary perforation during balloon angioplasty:an unusual presentation of the postpericardiotomy syndrome显示文摘ESCANED J AHMAD R A SHIU M F 1992Eur Heart J1992,13,:1
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