ivus在lm介入治疗中的应用幻灯PPT学习教案

1、会计学1ivus在在lm介入治疗中的应用幻灯介入治疗中的应用幻灯第1页/共33页第2页/共33页第3页/共33页IVUS : the most useful intracoronary diagnostic tool in the cath lab第4页/共33页贾三庆，张宇晨，王雷，等贾三庆，张宇晨，王雷，等. .中华实用内科杂志，中华实用内科杂志，20022002，4 4（1414）7-9.7-9.第5页/共33页Only Ostial21%Only Mid Shaft13.1%Only Bifurcation65.5%From Costantino Costantini et al.第6

2、页/共33页CAG 14.89% 4.27% 10.63% 29.78%IVUS 34.04% 6.38% 10.63% 25.53%CAG 8.51% 17.02% 14.89%IVUS 4.27% 12.76% 6.38%From Costantino Costantini et al.47 Bifurcations第7页/共33页Oviedo C, Maehara A, Mintz GS,et al.Circulation. 2010 Mar 2. Epub ahead of print第8页/共33页Oviedo C, Maehara A, Mintz GS,et al.Circula

3、tion. 2010 Mar 2. Epub ahead of print第9页/共33页Jasti et al.Circulation 2004;110:2831-6第10页/共33页-From Gary S Mintz-TCT2009第11页/共33页Conclusions:lIVUS guided stenting reduced long-term mortality rate compared with conventional angiography-guided stenting in DES placement for unprotected LMCA stenosislThe

4、 differential survival rate between IVUS-versus angiogrphy guidance start to separate and progressively diverged after 1 yearlTherefore,the reductioin of the risk of very late stent thrombosis by IVUS- guidance might play a role in improving survival after DES placement第12页/共33页第13页/共33页第14页/共33页第15页/共33页第16页/共33页第17页/共33页第18页/共33页第19页/共33页？57yrs Man UAP第20页/共33页第21页/共33页第22页/共33页第23页/共33页第24页/共33页54yrs Man STEMI (Anterior Wall) Post infarction agina第25页/共33页第26页/共33页第27页/共3