血管镜观察药物洗脱支架置入后支架表面内膜覆盖课件.ppt

宝山壁画 宝山壁画是引人注目的昂贵文物。此壁画发现于阿鲁科尔沁旗东沙布乡境内。1994年列为“全国十大考古新发现”之一。宝山壁画中最引人注目的是《杨贵妃教鹦鹉图》。该画高0.7米、宽2.3米，用于笔重彩绘制，最突出的表现了 晚唐风格。唐代擅长绘贵妇仕女的大师周昉绘制了《杨贵妃教鹦鹉图》，不仅享誉中原，而且还影响全国各地。发现于阿旗宝山古墓里的这幅画，就是契丹人聘请中原画家按照周氏风格绘制的， 技法深得周氏画风的真传。在唐人真迹稀如星风的今天，能够从中完整了解唐代人物画的杰出成就，堪称美术史研究的辛事。这幅壁画现今保存在阿鲁科尔沁旗博物馆，历经千年，恍如新绘，是该馆的镇馆之宝。 欢迎大家观看！ There are many factors related stent thrombosis, i.e. stent thromobogenisity, patient and/or lesion factors, and procedure factors. I have speculated that delayed healing of neoitima after drug eluting stent implantation might be one of the causes of stent thrombosis. * Thus, we have investigated the vascular surface after placement of a drug eluting stent using coronary angioscopy. All angioscopic evaluation was conducted using Vecmova?. * We classified the degree of neointimal coverage over the stent into 4 grades as shown in this slide. When struts were exposed similarly to the time of implantation, it was defined as grade 0 Struts were covered, but not embedded,,,,,,as grdade 1. Struts were embedded by the neo-intima, but translucency seen,,,,, as Grade 2. Struts were fully embedded and invisible by angioscopy,,,,,, as Grade 3. * This slide shows the neointimal coverage grades 3 to 6 months after SES and BMS implanted for de novo lesions. When you see BMS, about 80% of BMS showed grade 3 coverage. In contrast, more than 70% of SES had grade 1 coverage. As shown in this slide, neointimal growth was strongly suppressed with SES when compared to BMS. * Movies of the representative cases are presented here. The left side movie shows internal surface of the BMS 2.7 months after implantation, and the right side reveals that of the SES 3.7 months after implantation. As you can easy recognize, the BMS struts were fully embedded by the neointima and invisible as demonstrated in the left panel. In contrast, as shown in the right panel, the SES was not embedded by the neointima. * This case was implated both BMS and SES in hybrid manner. Bx velocity im