IVUS指导PCI的应用.ppt

This is the Bulleted List slide. To create this particular slide, click the NEW SLIDE button on your toolbar and choose the BULLETED LIST format. (Top row, second from left) The Sub-Heading and footnote will not appear when you insert a new slide. If you need either one, copy and paste it from the sample slide. If you choose not to use a Sub-Heading, let us know when you hand in your presentation for clean-up and we’ll adjust where the bullets begin on your master page. Also, be sure to insert the presentation title onto the BULLETED LIST MASTER as follows: Choose View / Master / Slide Master from your menu. Select the text at the bottom of the slide and type in a short version of your presentation title. Click the SLIDE VIEW button in the lower left hand part of your screen to return to the slide show. (Small white rectangle) This is the Bulleted List slide. To create this particular slide, click the NEW SLIDE button on your toolbar and choose the BULLETED LIST format. (Top row, second from left) The Sub-Heading and footnote will not appear when you insert a new slide. If you need either one, copy and paste it from the sample slide. If you choose not to use a Sub-Heading, let us know when you hand in your presentation for clean-up and we’ll adjust where the bullets begin on your master page. Also, be sure to insert the presentation title onto the BULLETED LIST MASTER as follows: Choose View / Master / Slide Master from your menu. Select the text at the bottom of the slide and type in a short version of your presentation title. Click the SLIDE VIEW button in the lower left hand part of your screen to return to the slide show. (Small white rectangle) Proximal 55岁，女性, AMI “自发性夹层” A B C D B A C D 42岁，男性， 不稳定性心绞痛 正常动脉，血肿 Maehara et al. AJC 2002 软斑块 组织突出 斑块破裂 远端血管充满血栓 急性心肌梗死（无复流） IVUS评价支架失败 0 5.0 20.0mm 支架膨胀不全 Cypher支架断裂 Fractured site Distal Proximal 支架贴壁不良 支架植入后远端模糊影 夹层 钙化 确定影响冠脉血流和引起心肌缺血的病变 精确指导冠脉介入治疗（测量血管大小，测量病变长度和确定和精确校准介入治疗的最后结果） 评价特殊病变的形态学 （动脉瘤, 钙化, 血栓, 血肿等）