血管内超声诊断左主干严重痉挛1例及文献复习
Intravascular Ultrasound Diagnosis of Severe Left Main Coronary Artery Spasm: A Case Report and Literature Review
DOI: 10.12677/ACM.2022.122146, PDF,   
作者: 黄 斌, 李 丽*：暨南大学医学院附属广州市红十字会医院，广东 广州
关键词: 左主干痉挛；血管造影；血管内超声；Left Main Coronary Artery Spasm； Angiography； Intravascular Ultrasound
摘要: 冠状动脉痉挛是血管痉挛性心绞痛的发病机制，左主干痉挛是冠状动脉痉挛中比较罕见的一种，目前文献中较少报道。本文报告一例经血管内超声检查确诊为左主干痉挛的患者，最后行左主干支架植入术治疗。血管内超声(IVUS)可有助于鉴别血管痉挛性心绞痛和非血管痉挛性心绞痛，识别及诊断左主干痉挛，为患者制定治疗方案提供依据。
Abstract: Coronary artery spasm is the pathogenesis of vasospasm angina pectoris. Left main coronary artery spasm is a relatively rare type of coronary artery spasm, which is rarely reported in the literature. This article reports a case of a patient who was diagnosed with spasm of the left main coronary artery by intravascular ultrasound, and was finally treated with intracoronary stenting. Intravascular ultrasound (IVUS) can help differentiate vasospasm angina and non-vasospasm angina, identify and diagnose left main coronary spasm, providing evidence for treatment plans.
文章引用：黄斌, 李丽. 血管内超声诊断左主干严重痉挛1例及文献复习[J]. 临床医学进展, 2022, 12(2): 1002-1006. https://doi.org/10.12677/ACM.2022.122146

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