PDF(Pubmed)
Abstract：
Vascular calcification is a hallmark of atherosclerosis and adds considerable challenges for percutaneous coronary intervention (PCI). This review underscores the critical role of coronary computed tomography (CT) angiography in assessing and quantifying vascular calcification for optimal PCI planning. Severe calcification significantly impacts procedural outcomes, necessitating accurate preprocedural evaluation. We describe the potential of coronary CT for calcium assessment and how CT may enhance precision in device selection and procedural strategy. These advancements, along with the ongoing Precise Procedural and PCI Plan study, represent a transformative shift toward personalized PCI interventions, ultimately improving patient outcomes in the challenging landscape of calcified coronary lesions.
摘要：
血管钙化是动脉粥样硬化的标志，并为经皮冠状动脉介入治疗（PCI）增加了相当大的挑战。这篇综述强调了冠状动脉计算机断层扫描（CT）血管造影在评估和量化血管钙化以优化PCI计划中的关键作用。严重钙化显著影响手术结果，需要准确的程序前评估。我们描述了冠状动脉CT用于钙评估的潜力，以及CT如何提高设备选择和手术策略的准确性。这些进步,随着正在进行的精确程序和PCI计划研究，代表着向个性化PCI干预的变革性转变，在冠状动脉钙化病变这一具有挑战性的领域，最终改善患者的预后。
