冠状动脉夹层诊疗研究进展OA
Research progress in the diagnosis and treatment of coronary artery dis-section
冠状动脉夹层是一种严重的、危及生命的心脏疾患,一般区分为原发性和继发性两类.原发性冠状动脉夹层(SCAD)也称自发性冠状动脉夹层,随着冠状动脉造影(CAG)和冠状动脉腔内影像学等检查方法的广泛应用,SCAD的检出率逐年增加.继发性冠状动脉夹层常有明确的原因,继发于心导管术、心外科手术或胸部外伤等,随着介入技术的广泛应用,由冠脉造影和经皮冠脉介入治疗(PCI)导致的医源性冠状动脉夹层(ICAD)成为继发性冠状动脉夹层的主要原因,本研究对SCAD和ICAD作一综述.通过系统阐述冠状动脉夹层的发生类型,选择恰当的诊治方式,针对不同特点的冠脉夹层进行个体化管理,达到对该疾病的有效治疗.
Coronary artery dissection is a serious and life-threatening heart disorder,which is generally classified into two types:primary and secondary.Spontaneous coronary artery dissection(SCAD),also known as spontaneous coronary artery dissection,has seen an increasing detection rate year by year with the widespread application of coronary angiography(CAG)and intracoronary imaging techniques.Secondary coronary artery dissection usually has a clear cause,such as after cardiac catheterization,cardiac surgery,or chest trauma.With the widespread application of interventional techniques,iatrogenic coronary artery dissection(ICAD)caused by coronary angiography and percutaneous coronary intervention(PCI)has become the main cause of secondary coronary artery dissection.This study provides a review of SCAD and ICAD.By systematically elaborating on the types of coronary artery dissection,selecting appropriate diagnosis and treatment methods,and implementing individualized management based on different characteristics of coronary artery dissection,effective treatment for this disease can be achieved.
杨倩;李鹏;曹瑞丽
联勤保障部队第985医院心肾内科,山西太原 030001联勤保障部队第985医院心肾内科,山西太原 030001联勤保障部队第985医院心肾内科,山西太原 030001
医药卫生
自发性冠状动脉夹层医源性冠状动脉夹层冠状动脉腔内影像学冠状动脉夹层管理
Spontaneous coronary artery dissectionIatrogenic coronary artery disectionCoronary intraluminal imagingCoronary artery dissection management
《中国当代医药》 2026 (21)
187-190,4
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