FIELD: medicine.
SUBSTANCE: stent is implanted. 30 minutes after stent implantation along the conductor from the distal protection system - filter, an intravascular optical coherent tomograph sensor is injected. "Tight" contrasting of the target vessel is performed with one-stage optical coherence tomography of the stented site with the LightLab device. The inner vessel lumen is evaluated: stent fitting to the wall, stent and vessel wall border, presence of wall blood clots, atherosclerotic plaque (AP) fragments forced through the stent. In case of clots or AP detritus in the vessel lumen, aspiration of thrombotic masses or implantation of the second stent is performed.
EFFECT: method allows to increase the accuracy of diagnosis through visualization of the inner wall of the target vessel, estimation of architectonics of the stent implanted and intima in the stenosis area, early detection of parietal thrombotic formations of various sizes, fragments of atherosclerotic plaque, forced through the stent cell, intimal dissection as causes of distal embolism.
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Authors
Dates
2017-12-22—Published
2017-01-10—Filed