冠状动脉血管内碎石术研究进展

马军伟; 王伟

doi:10.13201/j.issn.1001-1439.2021.05.003

冠状动脉血管内碎石术研究进展

马军伟,
王伟^,

- 泰达国际心血管病医院内五科(天津,300457)

详细信息

通讯作者: 王伟,E-mail:greatwhlm@yahoo.com

中图分类号: R541.4

收稿日期: 2020-10-28

Research progress of the intravascular lithotripsy system in coronary artery

MA Junwei,
WANG Wei^,

- Department of Cardiology, TEDA International Cardiology Hospital, Tianjin, 300457, China

More Information

Corresponding author: WANG Wei, E-mail: greatwhlm@yahoo.com

Received Date: 28 October 2020

摘要

摘要: 冠状动脉(冠脉)严重钙化是经皮冠脉介入治疗的一大挑战,支架置入前需要对钙化斑块进行充分扩张修饰,但非顺应性球囊、切割球囊、旋磨治疗等设备修饰钙化斑块能力有限,且容易带来一些并发症发生。近来,血管内碎石系统被用于冠脉严重钙化病变的治疗,现对其研究进展进行综述。
- 冠状动脉 /
- 钙化 /
- 血管内碎石 /
- 超声波
Abstract: Severe coronary artery calcification was a major challenge in the perioperative period of percutaneous coronary intervention(PCI). Optimal expansion of calcified plaque was required before stent implantation. However, the ability was limited that non-compliant balloon, cutting balloon, rotational atherectomy treatment and other devices modified calcified plaque, and some complications were likely to occur. Recently, The Intravascular Lithotripsy(IVL) System has been applied in the treatment of severe coronary calcification lesions. We summarized the research progress in this paper.
- coronary artery /
- calcification /
- intravascular lithotripsy /
- ultrasonic wave

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参考文献(34)

[1]	刘佳佳,曹宇,盛喆.冠状动脉钙化的病理生理机制及钙化评估进展[J].临床心血管病杂志,2020,36(8):768-772.
[2]	马智会,朱永武.冠状动脉血管内超声钙化特征联合血清miRNA-1、miRNA-208b对NSTE-ACS患者PCI术后冠状动脉再狭窄的预测价值[J].临床心血管病杂志,2019,35(9):795-800.
[3]	Généreux P,Madhavan MV,Mintz GS,et al.Ischemic outcomes after coronary intervention of calcified vessels in acute coronary syndromes.Pooled analysis from the HORIZONS-AMI(Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction)and ACUITY(Acute Catheterization and Urgent Intervention Triage Strategy)TRIALS[J].J Am Coll Cardiol,2014,63(18):1845-1854.
[4]	Kassimis G,Bourantas CV,Tushar R,et al.Percutaneous coronary intervention vs.cardiac surgery in diabetic patients.Where are we now and where should we be going?[J].Hellenic J Cardiol,2017,58(3):178-189.
[5]	Wiemer M,Butz T,Schmidt W.et al.Scanning electron microscopic analysis of different drug eluting stents after failed implantation:from nearly undamaged to major damaged polymers[J].Catheter Cardiovasc Interv,2010,75:905-911.
[6]	Tzafriri AR,Garcia-Polite F,Zani B,et al.Calcified plaque modification alters local drug delivery in the treatment of peripheral atherosclerosis[J].J Control Release,2017,264:203-210.
[7]	Barbato E,Shlofmitz E,Milkas A,et al.State of the art:evolving concepts in the treatment of heavily calcified and undilatable coronary stenoses-from debulking to plaque modification,a 40-year-long[J].J Euro Interven,2017,13(6):696-705.
[8]	Reifart N,Vandormael M,Krajcar M,et al.Randomized comparison of angioplasty of complex coronary lesions at a single center.Excimer Laser,Rotational Atherectomy,and Balloon Angioplasty Comparison(ERBAC)Study[J].Circulation,1997,96(1):91-98.
[9]	Forero MNT,Daemen J.The coronary intravascular lithotripsy system[J].Interv Cardiol,2019,14(3):174-181.
[10]	Kassimis G,Didagelos M,De Maria GL,et al.Shockwave Intravascular Lithotripsy for the Treatment of Severe Vascular Calcification[J].Angiology,2020,71(8):677-688.
[11]	Brinton TJ,Ali ZA,Hill JM,et al.Feasibility of shockwave coronary intravascular lithotripsy for the treatment of calcified coronary stenoses[J].Circulation,2019,139(6):834-836.
[12]	Ali ZA,Nef H,Escaned J,et al.Safety and effectiveness of coronary intravascular lithotripsy for treatment of severely calcified coronary stenoses:The Disrupt CAD II Study[J].Circ Cardiovasc Interv,2019,12(10):e008434.
[13]	Kereiakes DJ,Hill JM,Ben-Yehuda O,et al.Evaluation of safety and efficacy of coronary intravascular lithotripsy for treatment of severely calcified coronary stenoses:Design and rationale for the Disrupt CAD III trial[J].Am Heart J,2020,225:10-18.
[14]	Ali ZA,Brinton TJ,Hill JM,et al.Optical coherence tomography characterization of coronary lithoplasty for treatment of calcified lesions:first description[J].JACC Cardiovasc Imaging,2017,10(8):897-906.
[15]	Cubero-Gallego H,Millán R,Fuertes M,et al.Coronary lithoplasty for calcified lesions:real-world multicenter registry[J].Rev Esp Cardiol(Engl Ed),2020,S1885-5857(20):30108-0.
[16]	Yeoh J,Cottens D,Cosgrove C,et al.Management of stent underexpansion using intravascular lithotripsy-Defining the utility of a novel device[J].Catheter Cardiovasc Interv,2020,doi:10.1002/ccd.28715.
[17]	Ielasi A,Moscarella E,Testa L,et al.Intrava Scular lithotripsy for the Management of undILatable coronary stEnt:The SMILE Registry[J].Cardiovasc Revasc Med,2020,S1553-8389(20)30292-X.
[18]	Aksoy A,Salazar C,Becher MU,et al.Intravascular lithotripsy in calcified coronary lesions:a prospective,observational,multicenter registry[J].Circ Cardiovasc Interv,2019,12(11):e008154.
[19]	Mattesini A,Nardi G,Martellini A,et al.Intravascular imaging to guide lithotripsy in concentric and eccentric calcific coronary lesions[J].Cardiovasc Revasc Med,2020,S1553-8389(20):30220-7.
[20]	De Silva K,Roy J,Webb I,et al.A calcific,undilatable stenosis:lithoplasty,a new tool in the box?[J].JACC Cardiovasc Interv,2017,10(3):304-306.
[21]	Morabito G,Tripolino C,Tassone EJ,et al.A case of stent under-expansion due to calcified plaque treated with shockwave lithoplasty[J].Cardiology,2018,141(2):75-77.
[22]	Tovar Forero MN,Wilschut J,Van Mieghem NM,et al.Coronary lithoplasty:a novel treatment for stent underexpansion[J].Eur Heart J,2019,40(2):221.
[23]	Tripolino C,Tassone EJ,Morabito G,et al.Intravascular ultrasound-guided shockwave treatment of stents overlapping underexpansion of calcified left anterior descending artery[J].J Cardiol Cases,2019,20(4):135-137.
[24]	Ali ZA,McEntegart M,Hill JM,et al.Intravascular lithotripsy for treatment of stent underexpansion secondary to severe coronary calcification[J].Eur Heart J,2020,41(3):485-486.
[25]	Venuti G,D'Agosta G,Tamburino C,et al.Coronary lithotripsy for failed rotational atherectomy,cutting balloon,scoring balloon,and ultra-high-pressure non-compliant balloon[J].Catheter Cardiovasc Interv,2019,94(3):E111-E115.
[26]	Tovar Forero MN,Van Mieghem NM,Daemen J.Stent underexpansion due to heavy coronary calcification resistant to rotational atherectomy:A case for coronary lithoplasty?[J].Catheter Cardiovasc Interv,2019,doi:10.1002/ccd.28641.
[27]	Chen G,Zrenner B,Pyxaras SA.Combined rotational atherectomy and intravascular lithotripsy for the treatment of severely calcified in-stent neoatherosclerosis:a mini-review[J].Cardiovasc Revasc Med,2019,20(9):819-821.
[28]	Yeoh J,Hill J,Spratt JC.Intravascular lithotripsy assisted chronic total occlusion revascularization with reverse controlled antegrade retrograde tracking[J].Catheter Cardiovasc Interv,2019,93(7):1295-1297.
[29]	Tumminello G,Cavallino C,Demarchi A,et al.Bail-out unexpanded stent implantation in acute left main dissection treated with intra coronary lithotripsy:a case report[J].Eur Heart J Case Rep,2019,3(4):1-5.
[30]	López-Lluva MT,Jurado-Román A,Sánchez-Pérez I,et al.Shockwave:useful but potentially dangerous[J].JACC Cardiovasc Interv,2019,12(5):500-501.
[31]	Cicovic A,Cicovic S,Wong B,et al.A quicker pace:shockwave lithotripsy pacing with electromechanical capture[J].JACC Cardiovasc Interv,2019,12(17):1739-1740.
[32]	Wilson SJ,Spratt JC,Hill J,et al.Incidence of "shocktopics" and asynchronous cardiac pacing in patients undergoing coronary intravascular lithotripsy[J].Euro Intervention,2020,15(16):1429-1435.
[33]	Curtis E,Khan A,El-Jack S,et al.Precipitation of de novo atrial fibrillation during Shockwave Intravascular Lithotripsy^®after pacing capture during the treatment of proximal right coronary artery disease:a case report[J].Eur Heart J Case Rep,2019,3(4):1-4.
[34]	Kassimis G,Didagelos M,Kouparanis A,et al.Intravascular ultrasound-guided coronary intravascular lithotripsy in the treatment of a severely under-expanded stent due to heavy underlying calcification.To re-stent or not?[J].Kardiol Pol,2020,78(4):346-347.