复杂钙化变的处理.ppt

复杂钙化病变的处理 东南大学附属中大医院 马根山 钙化病变 介入医生担心 陷阱多，并发症多 结果不容易完美 什么是钙化病变 Calcium is quantified by measuring the “arc” it encompasses Calcium is classified by its location within the plaque --- Superficial calcium is closer to the lumen than to the adventitia ---Deep calcium is closer to the adventitia than to the lumen 钙化病变识别及潜在风险 Severe calcification increases the complications of PCI. Severe calcification can impair full stent expansion. Be aware of the serious implications of severe calcification. IVUS is most beneficial in these cases. 钙化病变影响介入治疗的效果 发现方法之一CT扫描 发现方法之二IVUS 发现方法之三CAG,血管壁钙化影，血管扭曲 钙化