\u81ea1977\u5e74\u9996\u6b21\u6210\u529f\u5b9e\u65bd\u7403\u56ca\u8840\u7ba1\u6210\u5f62\u672f\u4ee5\u6765\uff0c\u51a0\u72b6\u52a8\u8109\u4ecb\u5165\u9886\u57df\u8fc5\u901f\u53d1\u5c55\uff0c\u6cbb\u7597\u5668\u68b0\u7684\u521b\u65b0\u3001\u6cbb\u7597\u6280\u672f\u7684\u8fdb\u6b65\u3001\u6cbb\u7597\u7b56\u7565\u7684\u4f18\u5316\u7ed9\u60a3\u8005\u5e26\u6765\u4e86\u660e\u663e\u4e34\u5e8a\u83b7\u76ca\u3002\u5176\u4e2d\u51a0\u72b6\u52a8\u8109\u5185\u6210\u50cf\u6280\u672f\u7684\u53d1\u5c55\u4fc3\u8fdb\u4e86\u51a0\u8109\u4ecb\u5165\u8bca\u6cbb\u7684\u7cbe\u51c6\u8bc4\u4f30\u548c\u6cbb\u7597\uff0c\u4eca\u5929\u4e00\u8d77\u56de\u987e\u8fd9\u4e00\u6bb5\u7b80\u53f2\uff0c\u91cd\u70b9\u662fIVUS\uff0c\u9762\u5bf9\u9700\u6c42\uff0c\u4e00\u8d77\u5c55\u671b\u7f8e\u597d\u672a\u6765\u3002<\/p>\n
\u4e34\u5e8a\u9700\u6c42\uff1a\u51a0\u72b6\u52a8\u8109\u9020\u5f71\u662f\u8bc4\u4f30\u51a0\u72b6\u52a8\u8109\u75be\u75c5\u4e25\u91cd\u7a0b\u5ea6\u548c\u6307\u5bfc\u6cbb\u7597\u7684\u57fa\u672c\u5de5\u5177\uff0c\u56e0\u4e3a\u5b83\u662f\u4e00\u79cd\u9634\u5f71\u56fe\uff0c\u63cf\u7ed8\u9020\u5f71\u5242\u586b\u5145\u7684\u7ba1\u8154\u7684\u5e73\u9762\u6295\u5f71\uff0c\u5728\u4e34\u5e8a\u5e94\u7528\u4e2d\u6709\u4e00\u5b9a\u5c40\u9650\u6027\u3002\u5b58\u5728\u9519\u8bef\u4f30\u8ba1\u548c\u8bc4\u4ef7\u75c5\u53d8\uff0c\u4e0d\u6e05\u695a\u75c5\u53d8\u7684\u7279\u70b9\uff0c\u6cbb\u7597\u8840\u7ba1\u5468\u8fb9\u7ed3\u6784\u4e0d\u6e05\u695a\u7b49\u7b49\u95ee\u9898\uff08\u56fe1\u3001\u56fe2\uff09\u3002<\/p>\n
\u56fe1<\/p>\n
\u56fe2<\/p>\n
\u9488\u5bf9\u8fd9\u6837\u7684\u4e34\u5e8a\u9700\u6c42\uff0c\u63d0\u4f9b\u51a0\u72b6\u52a8\u8109\u7684\u65ad\u5c42\u6216\u6a2a\u65ad\u9762\u56fe\u50cf\uff0c\u5305\u62ec\u7ba1\u8154\u3001\u8840\u7ba1\u58c1\u3001\u6591\u5757\u8d1f\u8377\u3001\u6591\u5757\u6210\u5206\u548c\u5206\u5e03\uff0c\u751a\u81f3\u8840\u7ba1\u5468\u56f4\u7ed3\u6784\u7b49\u8154\u5185\u4fe1\u606f\u53ef\u4ee5\u4e3a\u8bca\u6cbb\u63d0\u4f9b\u66f4\u591a\u6709\u7528\u7684\u751f\u7269\u5b66\u4fe1\u606f\u3002\u5927\u91cf\u4e34\u5e8a\u8bc1\u636e\u8868\u660e\uff0c\u8fd9\u4e9b\u5de5\u5177\u53ef\u7528\u4e8e\u5b9e\u8df5\uff0c\u5e76\u6539\u5584\u4e86\u60a3\u8005\u7ed3\u5c40\u3002<\/p>\n
\u56fe3 \u8154\u5185\u5f71\u50cf\u5b66\u4e34\u5e8a\u5e94\u7528<\/p>\n
\u8840\u7ba1\u5185\u8d85\u58f0\uff08IVUS\uff09\u65e9\u671f\u88c5\u7f6e(\u8840\u7ba1\u5916)<\/p>\n
\u63a2\u5934\u5f0f\u8d85\u58f0\u88c5\u7f6e\u7684\u6982\u5ff5\u53ef\u4ee5\u8ffd\u6eaf\u523020\u4e16\u7eaa60\u5e74\u4ee3\u521d\uff0c\u5f53\u65f6\u6ce2\u5170\u533b\u5e08Tomasz Cieszynski\u5728\u6ce2\u5170Wroc\u0142aw\uff0c\u5c06\u4e00\u4e2a\u57fa\u672c\u7684\u8d85\u58f0\u4f20\u611f\u5668\u5b89\u88c5\u5728\u4e00\u4e2a\u5c0f\u5bfc\u7ba1\u4e0a\uff0c\u4ee5\u89c2\u5bdf\u72ac\u7684\u5fc3\u810f\u8154\u3002\u5927\u7ea610\u5e74\u540e\uff0cBom\u7b49\u5f00\u53d1\u4e86\u4e00\u79cd\u66f4\u590d\u6742\u7684\u76f8\u63a7\u9635\u5bfc\u7ba1\uff0c\u5c0632\u5355\u5143\u8d85\u58f0\u6362\u80fd\u5668\u5b89\u88c5\u52303 mm (9 Fr)\u5bfc\u7ba1\u4e0a\uff0c\u4ee5\u8bc4\u4f30\u4eba\u7c7b\u5fc3\u810f\u8154\u548c\u5176\u4ed6\u5fc3\u5185\u7ed3\u6784\u3002\u5728\u8fd9\u4e00\u70b9\u4e0a\uff0c\u8fd8\u6ca1\u6709\u4e13\u95e8\u8bbe\u8ba1\u7528\u4e8e\u8bc4\u4f30\u4eba\u7c7b\u52a8\u8109\u5185\u89e3\u5256\u7684\u8bbe\u5907\uff0c\u5e76\u4e14\u4ec5\u9650\u4e8e\u5fc3\u810f\u8154\u672c\u8eab\u7684\u5185\u90e8\u8bc4\u4f30\u300220\u4e16\u7eaa80\u5e74\u4ee3\u521d\uff0cSahn\u7b49\u4eba\u5728\u4e9a\u5229\u6851\u90a3\u5927\u5b66\u9996\u6b21\u901a\u8fc7\u8d85\u58f0\u5bf9\u4eba\u7c7b\u51a0\u72b6\u52a8\u8109\u5185\u89e3\u5256\u8fdb\u884c\u4e86\u63cf\u8ff0\uff0c\u4ed6\u4eec\u5728\u51a0\u72b6\u52a8\u8109\u642d\u6865\u672f\u524d\u4f7f\u75289 MHz\u548c12 MHz\u7684\u8868\u9762\u8d85\u58f0\u63a2\u5934\u626b\u63cf\u60a3\u8005\u7684\u5fc3\u5916\u819c\u51a0\u72b6\u52a8\u8109\u3002<\/p>\n
\u56fe4 \u9ad8\u9891\u5fc3\u5916\u819c\u51a0\u72b6\u52a8\u8109\u8d85\u58f0\u7684\u65e9\u671f\u56fe\u50cf\u3002<\/p>\n
12 MHz\u5fc3\u5916\u819c\u8868\u9762\u8d85\u58f0\u63a2\u5934\u3002\u5fc3\u5916\u819c\u8d85\u58f0\u56fe\u50cf\u663e\u793a\u53f3\u51a0\u72b6\u52a8\u8109\u5185\u7684\u52a8\u8109\u7ca5\u6837\u786c\u5316\u7269\u8d28\uff0c\u53f3\u4e0a\u89d2\u7bad\u5934\u663e\u793a\u75c5\u53d8\u9634\u5f71<\/p>\n
\u7b2c\u4e00\u4e2aIVUS\u539f\u578b\u548c\u7cfb\u7edf<\/p>\n
\u76f4\u523020\u4e16\u7eaa80\u5e74\u4ee3\u672b\u548c90\u5e74\u4ee3\u521d\uff0c Paul Yock\u901a\u8fc7\u52a0\u5dde\u5927\u5b66\u65e7\u91d1\u5c71\u5206\u6821\u548c\u65af\u5766\u798f\u5927\u5b66\u6b63\u5f0f\u5f00\u53d1\u5e76\u63cf\u8ff0\u4e86\u9996\u6279\u975e\u5546\u4e1aIVUS\u7cfb\u7edf\u4e4b\u4e00\u3002\u6b64\u8bbe\u5907\u88ab\u5e7f\u6cdb\u8ba4\u4e3a\u662fIVUS\u4e4b\u7236\uff0c\u63d0\u4f9b\u4e86\u7b2c\u4e00\u6279\u4e00\u822c\u52a8\u8109\u7ed3\u6784\u7684\u4f53\u5185\u56fe\u50cf\uff0c\u9996\u6b21\u63cf\u8ff0\u4e86\u52a8\u8109\u7684\u4e09\u5c42\u7ed3\u6784\u7279\u5f81\u3002<\/p>\n
IVUS\u7cfb\u7edf\uff1a\u76f4\u5f841.6 mm\u62162.6 mm(5\u62168 Fr)\u5bfc\u7ba1\u4e0a\uff1b20 mhz\u6362\u80fd\u5668\uff1b\u673a\u68b0\u65cb\u8f6c1800 rpm\uff1b360\u00b0\u7684\u8840\u7ba1\u5168\u58c1\u89c6\u56fe\uff1b\u56fe\u50cf\u5b9e\u65f6\u914d\u51c6\uff1b\u5e27\u738715 ~ 30\u5e27\/s\uff0c\u5f55\u50cf\u5e26\u8bb0\u5f55\u56fe\u50cf\u3002<\/p>\n
\u56fe5 Paul Yock 1986\u5e74\u4e13\u5229IVUS\u5bfc\u7ba1\u8bbe\u8ba1\u539f\u56fe<\/p>\n
1989\u5e74\uff0cTobis\u548cMallery\u5f00\u53d1\u4e86\u4e00\u79cd\u7c7b\u4f3c\u7684\u5355\u4e2a20 mhz\u5bfc\u7ba1\u7cfb\u7edf(Intertherapy Inc.\uff0c Costa Mesa, CA)\uff0c\u5728\u5c38\u68c0\u65f6\u5bf9\u51a0\u72b6\u52a8\u8109\u3001\u9ac2\u3001\u80a1\u548c\u80eb\u9aa8\u7cfb\u7edf\u8fdb\u884c\u4e86\u6d4b\u8bd5\u3002\u4e0eYock\u7684\u7cfb\u7edf\u76f8\u6bd4\uff0c\u4ed6\u4eec\u7684\u8bbe\u5907\u91c7\u7528\u4e86\u76f4\u5f841.2\u6beb\u7c73(3.6 F)\u7684\u5bfc\u7ba1\uff0c\u4fbf\u4e8e\u8fdb\u5165\u8f83\u5c0f\u7684\u52a8\u8109\u7cfb\u7edf\u3002\u540e\u6765\u8bb0\u5f55\u4e86\u4e00\u4e9b\u52a8\u8109\u7cfb\u7edf\u5728\u7403\u56ca\u6269\u5f20\u8840\u7ba1\u6210\u5f62\u672f\u524d\u540e\u7684\u7b2c\u4e00\u6279IVUS\u56fe\u50cf\u3002<\/p>\n
\u56fe6 Mallery\u548cTobis\u5236\u4f5c\u7684\u65e9\u671fIVUS\u539f\u578b<\/p>\n
\u5728\u5bfc\u7ba1\u5c16\u7aef\u6709\u955c\u5b50\u7684\u8d85\u58f0\u6362\u80fd\u5668\u539f\u578b\u3002\u58f0\u97f3\u5728\u5bfc\u7ba1\u5c16\u7aef\u7684\u4f20\u64ad\u8def\u5f84<\/p>\n
\u56fe7 Mallery\u548cTobis\u7528\u4e8e\u4ea7\u751f\u521d\u59cbIVUS\u56fe\u50cf\u7684\u521d\u59cbIVUS\u8bbe\u5907\u548c\u8bbe\u7f6e\u3002<\/p>\n
\u5bfc\u7ba1\u7cfb\u7edf\u7684\u8fdc\u7aef\u901a\u8fc7\u6240\u793a\u70e7\u676f\u4e2d\u7684\u6837\u672c\u52a8\u8109\u7cfb\u7edf\u3002\u5728\u56fe\u50cf\u5de6\u4e0a\u65b9\u533a\u57df\u7684\u76d1\u89c6\u5668\u4e0a\u5b9e\u65f6\u751f\u6210\u76f8\u5e94\u7684IVUS\u56fe\u50cf<\/p>\n
Hodgson\u7b49\u572820\u4e16\u7eaa90\u5e74\u4ee3\u521d\u5b8c\u6210\u4e86\u60a3\u8005\u4e2d\u9996\u6b21\u6210\u529f\u6d4b\u8bd5\u201c\u76f8\u63a7\u9635\u201dIVUS\u8bd5\u9a8c\u7684\u7ed3\u679c\u3002\u8be5\u76f8\u63a7\u9635\u8bbe\u8ba1\u7531\u51e0\u4e2a\u9576\u5d4c\u5728\u5bfc\u7ba1\u5706\u5468\u4e0a\u7684\u5c0f\u578b\u6362\u80fd\u5668\u5143\u4ef6\u7ec4\u6210\uff0c\u6309\u987a\u5e8f\u6fc0\u6d3b\u8fd9\u4e9b\u5143\u4ef6\uff0c\u751f\u6210\u56fe\u50cf\u3002OTW\u5bfc\u7ba1\uff1a1.83 mm (5.5 Fr)\uff0c\u63d0\u4f9b360\u00b0\u89c6\u91ce\uff0c\u662f\u7f8e\u56fd\u6279\u51c6\u7684\u7b2c\u4e00\u79cd\u7528\u4e8e\u51a0\u72b6\u52a8\u8109\u5185\u6210\u50cf\u7684\u5668\u68b0\u3002<\/p>\n
\u65e9\u671fIVUS\u7cfb\u7edf\u53d6\u5f97\u4e86\u521d\u6b65\u7684\u6210\u529f\u548c\u524d\u666f\uff0c\u4f46\u4ecd\u5b58\u5728\u660e\u663e\u5c40\u9650\u6027\uff08\u521b\u65b0\u8def\u5f84\u5c31\u662f\u4e0d\u65ad\u8fed\u4ee3\u7684\u4f18\u5316\u8fc7\u7a0b\uff0c\u8d8a\u4f18\u79c0\u7684\u590d\u6742\u7cfb\u7edf\uff0c\u8d8a\u9700\u8981\u4f18\u5316\u7684\u6253\u78e8\uff09\u3002\u75db\u70b9\uff1a\u5bfc\u7ba1\u5c3a\u5bf8\uff1a1.66\u81f32.66 mm (5-8 Fr)\uff0c\u53ea\u80fd\u8fdb\u5165\u5927\u8840\u7ba1\u548c\u6ca1\u6709\u4efb\u4f55\u5f2f\u66f2\u7a0b\u5ea6\u7684\u8840\u7ba1\uff1b\u5bfc\u7ba1\u5934\u7aef\u57285 ~ 8 mm\u7684\u6362\u80fd\u5668\u5143\u4ef6\u4f1a\u4f7f\u64cd\u4f5c\u4e0d\u7075\u6d3b\uff0c\u4e5f\u9650\u5236\u4e86\u8fdb\u5165\u5c0f\u52a8\u8109\uff1b\u504f\u5fc3\u4f4d\u7f6e\u7684\u5bfc\u7ba1\u5c16\u7aef\u4f1a\u5bfc\u81f4\u7ba1\u8154\u7684\u660e\u663e\u626d\u66f2\uff0c\u56e0\u6b64\u9700\u8981\u5c06\u5bfc\u7ba1\u91cd\u65b0\u5b9a\u4f4d\u5230\u66f4\u540c\u8f74\u7684\u4f4d\u7f6e\uff1b\u673a\u68b0\u7cfb\u7edf\u7684\u624b\u52a8\u56de\u62c9\uff1b\u6570\u91cf\u6709\u9650\u7684\u6362\u80fd\u5668\u5143\u4ef6\uff0c\u5bfc\u81f4\u5206\u8fa8\u7387\u4e0d\u4f73\u3002\u8fd9\u6700\u521d\u9650\u5236\u4e86\u76f8\u5bf9\u4e8e\u673a\u68b0\u65cb\u8f6c\u7cfb\u7edf\u7684\u5047\u5b9a\u4f18\u52bf\u3002\u8fc4\u4eca\u4e3a\u6b62\uff0c\u6ca1\u6709\u4efb\u4f55\u4e00\u79cd\u8bbe\u8ba1\u63d0\u4f9b\u201cforward looking\u201d\u5bfc\u7ba1\uff0c\u201cRing-down\u201d\u4f2a\u5f71\u5e38\u89c1\uff0c\u9700\u8981\u5747\u5300\u65cb\u8f6c\u624d\u80fd\u4ea7\u751f\u51c6\u786e\u7684\u56fe\u50cf\u3002<\/p>\n
\u56fe8 IVUS\u7cfb\u7edf\u7684\u65e9\u671f\u5c40\u9650\u6027\u5305\u62ec\u4e0e\u7406\u60f3\u7684\u51a0\u72b6\u52a8\u8109\u5185\u5bfc\u7ba1\u7f6e\u5165\u7684\u76f8\u5173\u56f0\u96be\u3002\u5bfc\u7ba1\u5c16\u7aef\u504f\u4f4d\u9700\u8981\u5c06\u5bfc\u7ba1\u91cd\u65b0\u5b9a\u4f4d\u5230\u66f4\u540c\u8f74\u7684\u4f4d\u7f6e\uff0c\u4ee5\u63d0\u9ad8\u56fe\u50cf\u8d28\u91cf<\/p>\n
\u65b0\u4e00\u4ee3IVUS\u7cfb\u7edf\uff08\u9762\u5bf9\u75db\u70b9\uff0c\u89e3\u51b3\u75db\u70b9\u5c31\u662f\u521b\u65b0\uff09<\/p>\n
\u57fa\u4e8e\u65e2\u5f80\u4e34\u5e8a\u75db\u70b9\uff0c\u79d1\u5b66\u5bb6\u3001\u533b\u751f\u3001\u5de5\u7a0b\u5e08\u548c\u4ea7\u4e1a\u4e0d\u65ad\u63a2\u7d22\u300220\u4e16\u7eaa90\u5e74\u4ee3\u672b\u523021\u4e16\u7eaa\u521d\u51fa\u73b0\u7684\u65b0\u4e00\u4ee3IVUS\u7cfb\u7edf\u3002IVUS\u5bfc\u7ba1\u76f4\u5f84\u51cf\u5c0f\u81f30.87-1.17 mm (2.6-3.5 Fr)\uff0c\u5141\u8bb8\u66f4\u591a\u5730\u8fdb\u5165\u8f83\u5c0f\u7684\u8840\u7ba1\u548c\u8fc2\u66f2\u7684\u8840\u7ba1\u3002\u5f15\u5165\u4e86\u66f4\u9ad8\u9891\u7387\u7684\u4f20\u611f\u5668\uff0c\u8303\u56f4\u53ef\u8fbe40-60 MHz (Boston Scientific, Natick, MA)\uff0c\u4ee5\u8fdb\u4e00\u6b65\u63d0\u9ad8\u6a2a\u5411\u5206\u8fa8\u7387\u3002\u4e3a\u4e86\u53ef\u9760\u5730\u6d4b\u91cf\u75c5\u53d8\u957f\u5ea6\uff0c\u4f7f\u7528\u81ea\u52a8\u56de\u64a4\u7cfb\u7edf\uff0c\u4ee50.25 ~ 1 mm\/s\u7684\u901f\u5ea6\u64cd\u4f5c\u5bfc\u7ba1\u56de\u64a4\uff0c\u76f8\u63a7\u9635\u7cfb\u7edf\u5c06\u66f4\u591a\u7684\u6210\u50cf\u5143\u4ef6\u5e03\u7f6e\u5728\u73af\u5f62\u9635\u5217\u4e2d\u4ee5\u63d0\u9ad8\u56fe\u50cf\u8d28\u91cf\u3002<\/p>\n
1998\u5e74\uff0cEndosonics\u516c\u53f8(Rancho Cordova, CA)\u751f\u4ea7\u4e86\u83b7\u5f97FDA\u6279\u51c6\u7684\u7403\u56ca-\u6362\u80fd\u5668\u8054\u5408\u7cfb\u7edf\uff0c\u8be5\u7cfb\u7edf\u5141\u8bb8\u652f\u67b6\u690d\u5165\u540e\u7acb\u5373\u8fdb\u884cIVUS\u6210\u50cf\u3002Yock\u7b49\u4eba\u5f00\u53d1\u4e86\u4e00\u79cd\u8054\u5408ivus -\u52a8\u8109\u7ca5\u6837\u786c\u5316\u5207\u9664\u672f\u88c5\u7f6e\u7684\u539f\u578b\uff0c\u53ef\u4ee5\u5b9e\u65f6\u6210\u50cf\u6307\u5f15\u9700\u8981\u5e72\u9884\u7684\u75c5\u53d8\u3002\u4e34\u5e8a\u5bf9\u6613\u635f\u6591\u5757\u7684\u5174\u8da3\u4fc3\u8fdb\u4e86\u91c7\u96c6\u540e\u56fe\u50cf\u5206\u6790\u7684\u8fdb\u6b65\uff0c\u4ece\u800c\u63a2\u7d22\u4e86\u6591\u5757\u6210\u5206\u5206\u6790\u7684\u4fe1\u606f\u3002\u4f8b\u5982\uff0c\u865a\u62df\u7ec4\u7ec7\u5b66IVUS\u5bf9\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6591\u5757\u7684\u4e0d\u540c\u6210\u5206\u8fdb\u884c\u989c\u8272\u7f16\u7801\uff0c\u901a\u8fc7\u8fd9\u79cd\u65b9\u5f0f\u7684\u75c5\u53d8\u53ef\u4ee5\u533a\u5206\u574f\u6b7b\u6838\u5fc3\u3001\u7ea4\u7ef4\u8102\u80aa\u6027\u3001\u7ea4\u7ef4\u6027\u6216\u81f4\u5bc6\u9499\u5316\u6027\u3002<\/p>\n
\u5f53\u4ee3\u53d1\u5c55<\/p>\n
2010\u5e74\u4ee5\u540e\uff0c\u5728\u56fd\u5916\uff0c\u6ce2\u58eb\u987f\u79d1\u5b66\u3001\u98de\u5229\u6d66\u706b\u5c71\u3001ACIST\u3001InfraReDx\u548c\u7f8e\u6566\u529b\u7b49\u516c\u53f8\u4e0d\u65ad\u4f18\u5316\u8fed\u4ee3\u65b0\u4ea7\u54c1\uff0c\u9646\u7eed\u83b7\u5f97FDA\u6279\u51c6\uff0c\u5e94\u7528\u5230\u4e34\u5e8a\uff0c\u5176\u529f\u80fd\u8fdc\u8fdc\u8d85\u8fc7\u65e9\u671f\u7cfb\u7edf\uff08\u7136\u800c\u4efb\u4f55\u6210\u529f\/\u6210\u719f\u90fd\u9700\u8981\u524d\u671f\u4e0d\u592a\u7406\u60f3\u7684\u57fa\u7840\uff09\u3002\u4e4b\u540e\u53d1\u5c55\u4e2d\u52a0\u5165AI\u3001\u8840\u6d41\u52a8\u529b\u5b66\u53c2\u6570\u548c\u5176\u4ed6\u6210\u50cf\u7cfb\u7edf\u8fdb\u4e00\u6b65\u9ad8\u6548\u548c\u5168\u65b9\u4f4d\u7684\u8bc4\u4ef7\u8840\u7ba1\u5185\u5f71\u50cf\u3002<\/p>\n
\u4e0b\u4e00\u671f\u6211\u4eec\u603b\u7ed3\u548c\u56de\u987eOCT\u548c\u5176\u4ed6\u8154\u5185\u5f71\u50cf\u7684\u53d1\u5c55\u3002<\/p>\n
\u9644\uff1a<\/p>\n
\u8840\u7ba1\u5185\u8d85\u58f0(IVUS)\u53d1\u5c55\u7b80\u53f2<\/p>\n
\u63a2\u5934\u5f0f\u8d85\u58f0\u8bbe\u5907\u7684\u6982\u5ff5\u53ef\u4ee5\u8ffd\u6eaf\u523020\u4e16\u7eaa60\u5e74\u4ee3\u521d\uff0c\u6ce2\u5170\u533b\u5e08Tomasz Cieszynski\u5728\u6ce2\u5170Wroc\u0142aw\u8fdb\u884c\u5f00\u521b\u6027\u7814\u7a76\u3002\u4ed6\u5c06\u4e00\u4e2a\u57fa\u672c\u7684\u8d85\u58f0\u4f20\u611f\u5668\u5b89\u88c5\u5728\u4e00\u4e2a\u5c0f\u5bfc\u7ba1\u4e0a\uff0c\u4ee5\u89c2\u5bdf\u72ac\u7684\u5fc3\u810f\u8154\u3002\u8fd9\u9879\u7814\u7a76\u4e3a\u540e\u6765\u7684IVUS\u6280\u672f\u5960\u5b9a\u4e86\u57fa\u7840\u3002<\/p>\n
1972\u5e74\uff0cBom\u5f00\u59cb\u4e86\u65e9\u671f\u7684\u76f8\u63a7\u9635\u8d85\u58f0\u5de5\u4f5c\uff0c\u63a8\u52a8\u4e86\u8d85\u58f0\u6210\u50cf\u6280\u672f\u7684\u53d1\u5c55\u3002<\/p>\n
20\u4e16\u7eaa80\u5e74\u4ee3\u521d\uff0cSahn\u7b49\u4eba\u5728\u4e9a\u5229\u6851\u90a3\u5927\u5b66\u9996\u6b21\u901a\u8fc7\u8d85\u58f0\u5bf9\u4eba\u7c7b\u51a0\u72b6\u52a8\u8109\u5185\u89e3\u5256\u8fdb\u884c\u4e86\u63cf\u8ff0\u3002\u4ed6\u4eec\u5728\u51a0\u72b6\u52a8\u8109\u642d\u6865\u672f\u524d\u4f7f\u75289 MHz\u548c12 MHz\u7684\u8868\u9762\u8d85\u58f0\u63a2\u5934\u626b\u63cf\u60a3\u8005\u7684\u5fc3\u5916\u819c\u51a0\u72b6\u52a8\u8109\u3002<\/p>\n
\u57281980\u5e74\u4ee3\u672b\u52301990\u5e74\u4ee3\u521d\uff0cPaul Yock\u5f00\u53d1\u4e86\u7b2c\u4e00\u4e2a\u975e\u5546\u4e1a\u5316\u7684IVUS\u7cfb\u7edf\uff0c\u8fd9\u4e2a\u7cfb\u7edf\u63d0\u4f9b\u4e86\u52a8\u8109\u7ed3\u6784\u7684\u521d\u6b65\u56fe\u50cf\u3002<\/p>\n
\u540c\u65f6\u671f\uff0c\u521d\u671f\u7684IVUS\u539f\u578b\u548c\u7cfb\u7edf\u5728\u4f53\u5185\u548c\u5c38\u4f53\u4e0a\u8fdb\u884c\u4e86\u6d4b\u8bd5\uff0c\u63a8\u52a8\u4e86\u6280\u672f\u7684\u8fdb\u4e00\u6b65\u53d1\u5c55\u3002<\/p>\n
\u57281990\u5e74\u4ee3\u521d\uff0cHodgson\u7b49\u4eba\u5f00\u53d1\u4e86\u7b2c\u4e00\u4e2a\u6210\u529f\u6d4b\u8bd5\u7684\u201c\u76f8\u63a7\u9635\u201dIVUS\u7cfb\u7edf\uff0c\u5e76\u5728\u6e05\u9192\u60a3\u8005\u4e2d\u8fdb\u884c\u4e86\u8bd5\u9a8c\u3002<\/p>\n
Regulatory Approvals: Phased Array IVUS\u7cfb\u7edf\u83b7\u5f97\u4e86\u7f8e\u56fdFDA\u7684\u6279\u51c6\uff0c\u7528\u4e8e\u51a0\u8109\u5185\u6210\u50cf\uff0c\u6807\u5fd7\u7740\u8be5\u6280\u672f\u7684\u4e34\u5e8a\u5e94\u7528\u3002<\/p>\n
Combined Balloon-Transducer Systems: Endosonics\u516c\u53f8\u751f\u4ea7\u4e86\u552f\u4e00\u83b7\u5f97FDA\u6279\u51c6\u7684\u7ed3\u5408\u7403\u56ca\u548c\u6362\u80fd\u5668\u7684\u7cfb\u7edf\uff0c\u4f7f\u5373\u523b\u8fdb\u884cIVUS\u6210\u50cf\u6210\u4e3a\u53ef\u80fd\u3002<\/p>\n
Mid 1990s<\/p>\n
Bom et al.’s Advanced Phased Array Catheter: Bom\u7b49\u4eba\u5c0632\u5355\u5143\u8d85\u58f0\u6362\u80fd\u5668\u5b89\u88c5\u52303 mm (9 Fr)\u5bfc\u7ba1\u4e0a\uff0c\u5f00\u53d1\u4e86\u4e00\u79cd\u66f4\u590d\u6742\u7684\u76f8\u63a7\u9635\u5bfc\u7ba1\u3002<\/p>\n
Late 1990s – Early 2000s<\/p>\n
Virtual Histology IVUS: \u57281990\u5e74\u4ee3\u672b\u52302000\u5e74\u4ee3\u521d\uff0c\u865a\u62df\u7ec4\u7ec7\u5b66IVUS\u6280\u672f\u5f97\u5230\u4e86\u5f00\u53d1\uff0c\u68c0\u6d4b\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6591\u5757\u7684\u4e0d\u540c\u6210\u5206\u3002<\/p>\n
Higher Frequency Transducers: \u5f15\u5165\u4e86\u9ad8\u8fbe40-60MHz\u7684\u9ad8\u9891\u6362\u80fd\u5668\uff0c\u4ee5\u8fdb\u4e00\u6b65\u63d0\u9ad8\u6210\u50cf\u7684\u6a2a\u5411\u5206\u8fa8\u7387\u3002<\/p>\n
Automated Pullback Systems: \u81ea\u52a8\u56de\u64a4\u7cfb\u7edf\u7684\u5f15\u5165\u63d0\u9ad8\u4e86\u6d4b\u91cf\u75c5\u53d8\u957f\u5ea6\u7684\u53ef\u9760\u6027\u3002<\/p>\n
2000s – Present<\/p>\n
Optical Coherence Tomography (OCT): \u8fdb\u51652000\u5e74\u4ee3\uff0cOCT\u4f5c\u4e3aIVUS\u7684\u5149\u5b66\u53d8\u4f53\u51fa\u73b0\uff0c\u63d0\u4f9b\u4e86\u66f4\u9ad8\u5206\u8fa8\u7387\u7684\u51a0\u72b6\u52a8\u8109\u75c5\u53d8\u8868\u9762\u5206\u6790\u3002<\/p>\n
Integration and Advancements: IVUS\u548cOCT\u6280\u672f\u4ece\u7814\u7a76\u5de5\u5177\u9010\u6b65\u8f6c\u53d8\u4e3a\u5e7f\u6cdb\u63a5\u53d7\u7684\u4e34\u5e8a\u7597\u6cd5\uff0c\u663e\u8457\u6539\u5584\u4e86\u63a5\u53d7PCI\u60a3\u8005\u7684\u4e34\u5e8a\u7ed3\u679c\u3002<\/p>\n
2018 \u5e74Conavi Medical \u7684Novasight Hybrid System\u83b7\u5f97FDA\u6279\u51c6\u3002<\/p>\n
\u4e3b\u8981\u53c2\u8003\u6587\u732e\uff1a<\/p>\n
Montarello NJ, Nelson AJ, Verjans J, et al. The role of intracoronary imaging in translational research. Cardiovasc Diagn Ther. 2020 Oct;10(5):1480-1507.<\/p>\n
Gurgoglione FL, Denegri A, Russo M, et al.Intracoronary Imaging of Coronary Atherosclerotic Plaque: From Assessment of Pathophysiological Mechanisms to Therapeutic Implication. Int J Mol Sci. 2023 Mar 8;24(6):5155.<\/p>\n
Mintz GS, Matsumura M, Ali Z, Maehara A. Clinical Utility of Intravascular Imaging: Past, Present, and Future. JACC Cardiovasc Imaging. 2022 Oct;15(10):1799-1820.<\/p>\n
Twing, A.H., Meyer, J., Dickens, H. et al. A Brief History of Intracoronary Imaging. Curr Cardiovasc Imaging Rep 13, 18 (2020).<\/p>\n
Truesdell AG, Alasnag MA, Kaul P, et al. ACC Interventional Council. Intravascular Imaging During Percutaneous Coronary Intervention: JACC State-of-the-Art Review.J Am Coll Cardiol. 2023 Feb 14;81(6):590-605.<\/p>\n
Quinn RR, Pflugfelder PW, Kostuk WJ, Boughner DR. Intracoronary ultrasound imaging: methods and clinical applications. Can J Cardiol. 2000 Jul;16(7):911-7.<\/p>\n
Cieszynski T. Intracardiac method for the investigation of structure of the heart with the aid of ultrasonics. Arch Immunol Ther Exp.1960;8:551\u20137.<\/p>\n
SahnDJ, Barratt-Boyes BG, GrahamK, et al. Ultrasonic imaging of the coronary arteries in open-chest humans: evaluation of coronary atherosclerotic lesions during cardiac surgery. Circulation. 1982;66:1034\u201344.<\/p>\n
Yock PG, Inventor Cardiovascular Imaging Systems, Inc., assignee.Catheter apparatus. System and method for intravascular two dimensional ultrasound. United States of America; 1989.<\/p>\n
Coy KM, Maurer G, Siegel RJ. Intravascular ultrasound imaging: a current perspective. J Am Coll Cardiol. 1991;18:1811\u201323.<\/p>\n
Yock PG, Fitzgerald PJ, Linker DT, Angelsen BA. Intravascular ultrasound guidance for catheter-based coronary interventions. J Am Coll Cardiol. 1991;17:39b\u201345b.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u81ea1977\u5e74\u9996\u6b21\u6210\u529f\u5b9e\u65bd\u7403\u56ca\u8840\u7ba1\u6210\u5f62\u672f\u4ee5\u6765\uff0c\u51a0\u72b6\u52a8\u8109\u4ecb\u5165\u9886\u57df\u8fc5\u901f\u53d1\u5c55\uff0c\u6cbb\u7597\u5668\u68b0\u7684 … \u7ee7\u7eed\u9605\u8bfb