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作者

武晓龙 侯应龙 王奖荣 王 聪

作者单位

山东第一医科大学第一附属医院(山东省千佛山医院)心血管病学，山东省医药卫生心律失常重点实验室，山东 济南 山东第一医科大学第一附属医院(山东省千佛山医院)心血管病学，山东省医药卫生心律失常重点实验室，山东 济南

刊名

Advances in Clinical Medicine

年份

2023

卷号

Vol.13 No.12

页码

18714-18720

ISSN

2161-8712

关键词

经皮冠状动脉介入治疗 血管内超声 支架贴壁不良 预后 Percutaneous Coronary Intervention Intravascular Ultrasound Stent Malapposition Prognosis

摘要

Stent malapposition is a common phenomenon after percutaneous coronary intervention , and it is categorized into acute stent malapposition and late stent malapposition according to the time of occurrence. LSM may have an impact on the development of myocardial in-farction and late in-stent thrombus in postprocedural patients, but the relationship between ASM and prognostic outcomes remains controversial. When assessing SM and its prognosis by intravas-cular ultrasound , stent type may influen...更多

Stent malapposition is a common phenomenon after percutaneous coronary intervention , and it is categorized into acute stent malapposition and late stent malapposition according to the time of occurrence. LSM may have an impact on the development of myocardial in-farction and late in-stent thrombus in postprocedural patients, but the relationship between ASM and prognostic outcomes remains controversial. When assessing SM and its prognosis by intravas-cular ultrasound , stent type may influence the incidence of SM. Diffuse calcified lesions, stent symmetry, inflammatory response and stent length may be relevant risk factors for SM. The severi-ty of SM and the minimal stent area may serve as effective indicators for predicting clinical out-comes. IVUS plays a crucial role in preventing SM, particularly when treating patients with left main coronary artery disease. The incidence of SM is higher in patients with late stent thrombotic lesions, and long-term dual antiplatelet therapy is recommended for such patients.收起

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