现代医药卫生2023，Vol.39Issue(23)：3970-3976,7.DOI:10.3969/j.issn.1009-5519.2023.23.003
计算机断层扫描衍生血流储备分数对稳定型胸痛临床管理的价值
Value of computed tomography-fractional flow reservein the clinical management of stable chest pain
摘要
Abstract
Objective To investigate the safety and feasibility of using coronary arterycomputed tomo-graphy-fractional flow reserve(CT-FFR)as an alternative to invasive coronary angiography(ICA)for selecting patients for coronaryintervention.Methods ICA and retrospective CT-FFR were performedin patients with stable chest pain and coronary artery stenosis exceeding 50％diagnosed through coronary arterycomputed tomography angiography in this hospital from April 2021 to August 2022.The impact of CT-FFR and ICA on decision-making and clinical outcomes were compared inone-year follow-up.Results UsingCT-FFR threshold＞0.80 for intervention demonstrated high diagnostic accuracy in identifying coronary artery stenosis(the area under the curve was 0.85),and at the same time,up to 40％of diagnostic ICA program operation search could be avoided.In patients with CT-FFR≤0.80 undergoing revascularization,the incidence of major adverse cardi-ovascular events was 18.8％,similar to ICA-guided intervention(21.1％).Conclusion The results indicate that CT-FFR can be used as an alternative tool to guide coronary revascularization,with high cancellation rate of coronary intervention and low incident rate..关键词
冠状动脉CT血流储备分数/有创性冠状动脉造影/冠状动脉计算机断层扫描血管造影/稳定型胸痛/心血管事件Key words
Coronary arterycomputed tomography-fractional flow reserve/Invasive coronary angiog-raphy/Coronary arterycomputed tomography angiography/Stable angina/Cardiovascular event分类
医药卫生引用本文复制引用
杨国立,马康华,罗悦,吴凡,杨宝,毛敏..计算机断层扫描衍生血流储备分数对稳定型胸痛临床管理的价值[J].现代医药卫生,2023,39(23):3970-3976,7.基金项目
重庆市自然科学基金面上项目(cstc2021jcyj-msxmX0077). （cstc2021jcyj-msxmX0077）
