大慶油田总医院 心内科 温尚煜.pptVIP

大庆油田总医院 心内科 温尚煜 Copyright ?1995 American Heart Association Mintz, G. S. et al. Circulation 1995;91:1959-1965 判断不清钙化程度——IVUS IVUS无法达到RCA远端 球囊扩张 支架植入困难 近端内膜撕裂 支架 内膜撕裂 支架膨胀不全 内膜撕裂 我们为什么要做旋磨？ Calcium can preclude optimal stenting. Asymmetrical stent expansion occurs in up to 50% of cases where calcium is not treated before stent deployment.2 With DES, rotational atherectomy is an important tool for calcified lesions. Lesion preparation with compliance change for a calcified lesion can substantially facilitate stent delivery and symmetrical st