Professor Tian Feng, director of the Department of Cardiology of the hospital, told reporters that the coronary arteries, as the blood-supplying heart, have a complex structure and more branches. Coronary heart disease patients with complex and diverse degree of lesions, and accurately see the lesions for accurate treatment, it is critical. Therefore, intravascular ultrasound (IVUS), also known as the "third eye" of the coronary arteries.
Tian Feng and his team
Intravascular ultrasound, or IVUS for short, is simply ultrasound performed inside the heart's blood vessels, where a miniaturised ultrasound probe is sent through a catheter into the lumen of the vessel to provide a cross-sectional image of the wall. Accordingly, the diameter of the coronary artery, the composition of the wall and the morphological structure can be observed. In addition, it is possible to observe the presence of plaque in the lumen of the coronary artery, whether it is soft or hard; whether the surface of the plaque is subject to rupture as well as the presence of blood clots in the lumen.
"With the help of this technology, not only directly on the lesion line qualitative analysis, but also can carry out accurate measurement analysis." Tian Feng told reporters, the degree of refinement is called cardiovascular intervention in the doctor's "eyes of gold", is considered to be the new "gold standard" of vascular examination.
The 66-year-old patient Mr Li, chest pain for many years, two months ago in Zhenjiang hospital coronary angiography showed three branches of lesions, the swing branch of the severe stenosis, diffuse lesions, in the swing branch implantation of stents three symptomatic relief. In order to further treat the anterior descending branch and the right coronary artery, Mr Li recently came to the cardiology department of the hospital again. However, due to the obvious calcification of his anterior descending branch and right coronary artery, the angiogram showed 60% stenosis of the anterior descending branch and could not clearly show the internal structure of the vessel, which made it difficult to accurately assess the cardiovascular disease condition.
In order to provide the patient with an accurate treatment plan, the hospital decided to use intravascular coronary ultrasound (IVUS) to directly characterise and accurately measure and analyse the diseased vessels after full communication with the family. Through the efforts of the cardiology team of the hospital, the intravascular ultrasound (IVUS) examination was successfully completed.
The IVUS examination showed that Mr Li's middle anterior descending branch had the narrowest stenosis of 1.95 square millimetres, with a plaque load of 76% and a stenosis rate of 77%. With the precise examination data, Tian Feng's team recommended that the patient undergo coronary spinodal therapy.
"This intravascular ultrasound examination, which fully understands the vascular lesions and avoids blind stent implantation, plays an important role in improving the patient's prognosis." Talking about the most direct "results" of this examination, Professor Tian Feng said happily.
Surgery scene
In addition, Tian Feng said that the use of intravascular coronary ultrasound marks a new level of treatment technology in the Department of Cardiology of Zhenjiang Second Hospital. It will not only provide a favourable guarantee for the hospital's future precise interventional therapy, but also open up the "heart" era of precise treatment under the guidance of intravascular ultrasound.
Proofreading Sheng Yuanyuan

