葛雷,吴轶喆,葛均波

• 1:上海市心血管病研究所 复旦大学附属中山医院心内科

摘要(Abstract)：

<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)

关键词(KeyWords)： 完全闭塞病变;导引钢丝技术;侧支血管

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 葛雷,吴轶喆,葛均波

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