逆向导引钢丝技术在慢性完全闭塞病变介入治疗中的应用

被引：6

作者：

葛雷

吴轶喆

葛均波

机构：

[1] 上海市心血管病研究所复旦大学附属中山医院心内科

来源：

中国介入心脏病学杂志 | 2014年 / 22卷 / 06期

关键词：

完全闭塞病变; 导引钢丝技术; 侧支血管;

D O I：

暂无

中图分类号：

R541.4 [冠状动脉（粥样）硬化性心脏病（冠心病）];

学科分类号：

100201 [内科学];

摘要：

<正>慢性完全闭塞(chronic total occlusion,CTO)病变通常被认为是冠心病经皮冠状动脉介入治疗(PCI)中"最后待以攻克的堡垒"。近年来随着手术器械的不断改进、术者经验和技术的提高,尤其是逆向导引钢丝技术的应用,使CTO-PCI的手术成功率得以显著提高[1-4]。本文将结合中国国情,从实战角度对逆向导引钢丝技术在CTO-PCI中的应用做一论述。一、逆向导引钢丝技术的适应证尽管逆向导引钢丝技术可以进一步提高CTO-PCI的手术成功率,但与正向导引钢丝技术相比,逆向导引钢丝技术的手术时间往往较长,放射剂量和对比剂用量较大[5]。因此,术者必须严格掌握逆向导引钢丝技术的适应证:(1)

引用

页码：395 / 400

页数：6

共 18 条

[1]

Japanese Multicenter Registry Evaluating the Retrograde Approach for Chronic Coronary Total Occlusion [J].

Tsuchikane, Etsuo ;

Yamane, Masahisa ;

Mutoh, Makoto ;

Matsubara, Tetsuo ;

Fujita, Tsutomu ;

Nakamura, Shigeru ;

Muramatsu, Toshiya ;

Okamura, Atsunori ;

Igarashi, Yasumi ;

Oida, Akitsugu .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2013, 82 (05) :E654-E661

[2]

Retrograde Coronary Chronic Total Occlusion Revascularization.[J].Dimitri Karmpaliotis;Tesfaldet T. Michael;Emmanouil S. Brilakis;Aristotelis C. Papayannis;Daniel L. Tran;Ben L. Kirkland;Nicholas Lembo;Anna Kalynych;Harold Carlson;Subhash Banerjee;William Lombardi;David E. Kandzari.JACC: Cardiovascular Interventions.2012, 12

[3]

Changing strategies of the retrograde approach for chronic total occlusion during the past 7 years.[J].Toshiya Muramatsu;Reiko Tsukahara;Yoshiaki Ito;Hiroshi Ishimori;Seung‐Jung Park;Robert Winter;Khaled Shokry;Lefeng Wang;Jiyan Chen;Haichang Wang.Cathet. Cardiovasc. Intervent..2012, 4

[4]

The Retrograde Technique for Recanalization of Chronic Total Occlusions.[J].Dominique Joyal;Craig A. Thompson;J. Aaron Grantham;Christopher E.H. Buller;Stéphane Rinfret.JACC: Cardiovascular Interventions.2012, 1

[5]

A Percutaneous Treatment Algorithm for Crossing Coronary Chronic Total Occlusions [J].

Brilakis, Emmanouil S. ;

Grantham, J. Aaron ;

Rinfret, Stephane ;

Wyman, R. Michael ;

Burke, M. Nicholas ;

Karmpaliotis, Dimitri ;

Lembo, Nicholas ;

Pershad, Ashish ;

Kandzari, David E. ;

Buller, Christopher E. ;

DeMartini, Tony ;

Lombardi, William L. ;

Thompson, Craig A. .

JACC-CARDIOVASCULAR INTERVENTIONS, 2012, 5 (04) :367-379

[6]

The retrograde approach to coronary artery chronic total occlusions.[J].Emmanouil S.Brilakis;J. AaronGrantham;Craig A.Thompson;Tony J.DeMartini;AbhiramPrasad;Gurpreet S.Sandhu;SubhashBanerjee;William L.Lombardi.Cathet. Cardiovasc. Intervent..2012, 1

[7]

A Novel Modification of the Retrograde Approach for the Recanalization of Chronic Total Occlusion of the Coronary Arteries.[J].Sudhir Rathore;Osamu Katoh;Etsuo Tuschikane;Akitsugu Oida;Takahiko Suzuki;Shimichi Takase.JACC: Cardiovascular Interventions.2010, 2

[8]

The First Clinical Experience With a Novel Catheter for Collateral Channel Tracking in Retrograde Approach for Chronic Coronary Total Occlusions [J].