冠状动脉造影ABC分析.pptVIP

血栓分级 Grade 0: No cine-angiographic characteristics of thrombus present. Grade 1: Hazy, possible thrombus present. Angiography demonstrates characteristics such as reduced contrast density, haziness, irregular lesion contour, or a smooth convex meniscus at the site of total occlusion suggestive but not diagnostic of thrombus. Grade 2: Thrombus present – small size: Definite thrombus with greatest dimensions less than or equal to 1/2 vessel diameter. Grade 3: Thrombus present – moderate size: Definite thrombus but with greatest linear dimension greater than 1/2 but less than 2 vessel diameters. Grade 4: Thrombus present – large size: As in Grade 3 but with the largest dimension greater than or equal to 2 vessel diameters. Grade 5: Recent total occlusion, can involve some collateralization but usually does not involve extensive collateralization, tends to have a “beak” shape and a hazy edge or appearance of distinct thrombus. Grade 6: Chronic total occlusion, usually involving extensive collateralization, tends to have distinct, blunt cutoff/edge and will generally clot up to the nearest proximal side branch. Gibson CM et al. Circulation. 2001;103:2550-2554 Grade 5 thrombus Grade 4 thrombus 动脉瘤 A localized arterial widening (dilatation) that usually manifests itself as a bulge. Its presence may lead to weakening of the wall and eventual rupture. Grade 0: None – no ectasia present. Grade 1: Ectasia – visual assessment of ectasia 1 1.5 times the normal artery diameter located anywhere in the culprit artery. Grade 2: Aneurysm – visual assessment of an aneurysm 1.5 times the normal artery diameter located anywhere in the culprit artery. 病变复杂程度 AHA Task Force Definition as modified by Ellis et al: Type A: 10 mm, discrete, concentric readily accessible, 45 degree angle smooth contour, little or no calcification, less than totally occluded, not ostial, no major side branch involvement, absence of thrombus. Type B1: One of the following characteristics