摘要
欧美、亚太以及中国的慢性完全闭塞(CTO)-经皮冠状动脉介入治疗(PCI)推荐流程均包括正向、逆向和正向夹层再入真腔技术(ADR)3大支柱技术。近年来Stingray球囊辅助下ADR术因其重复性高、安全高效受到广泛关注,而对CTO出口处有巨大分支者,ADR引起边支丢失风险较高须谨慎应用,尽量确保分叉前完成穿刺保留分支。本文报道3例分叉前精准ADR穿刺保留分支的CTO-PCI成功病例。
The CTO-PCI hybrid strategy in Europe,the United States,Asia Pacific and China all includes three pillars techniques of antegrade,retrograde and antegrade dissection reentry(ADR).In recent years,Stingray balloon assisted ADR has attracted wide attention due to its high repeatability,safety and efficiency.For those with large branches at the CTO exit,ADR has a high risk of side branch loss,and it should be applied with caution to ensure that the branch is preserved by puncture before bifurcation.Three successful cases of CTO-PCI with ADR accurately punctured retaining branches are reported below.
作者
高好考
王欢
蔡越
陈根锐
贾慧丰
廉琨
陶凌
李成祥
GAO Haokao;WANG Huan;CAI Yue;CHEN Genrui;JIA Huifeng;LIAN Kun;TAO Ling;LI Chengxiang(Department of Cardiology,Xijing Hospital,Air Force Medical University,Xi'an,710032,China;Department of Intervention,Dali County Hospital in Xi'an)
出处
《临床心血管病杂志》
CAS
北大核心
2023年第10期817-820,共4页
Journal of Clinical Cardiology
