Catheter-based coronary bypass: A development update

被引:17
作者
Oesterle, SN
Reifart, N
Hayase, M
Hauptmann, E
Low, R
Erbel, R
Haude, M
Dirsch, O
Schuler, GC
Virmani, R
Yeung, AC
机构
[1] Stanford Univ, Med Ctr, Div Cardiol, Stanford, CA 94305 USA
[2] Massachusetts Gen Hosp, Div Cardiol, Boston, MA 02114 USA
[3] Kardiol Inst, Div Cardiol, Bad Soden, Germany
[4] Krankenhaus D Barmh Bruder, Div Cardiol, Trier, Germany
[5] Univ Calif Davis, Div Cardiol, Davis, CA 95616 USA
[6] Univ Essen Gesamthsch Klinikum, Div Cardiol, D-4300 Essen, Germany
[7] Herzzentrum, Div Cardiol, Leipzig, Germany
[8] Armed Forces Inst Pathol, Washington, DC 20306 USA
关键词
percutaneous bypass; retroperfusion; venous; coronary; revascularization;
D O I
10.1002/ccd.10403
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Catheter-based coronary bypass has evolved since its origin in 1995. We present a status update of one version of catheter-based bypass, percutaneous in situ coronary venous arterialization (PICVA), its successes and failures, and the many questions and challenges that remain. Initial clinical experience with PICVA demonstrated promising mitigation of angina in no-option patients, but was complicated by a relatively low procedural completion rate and a high incidence of MACE. A great deal was learned in these initial cases. The system of devices is currently undergoing significant modification, and further clinical study is underway.
引用
收藏
页码:212 / 218
页数:7
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