主动迎接技术联合逆向导丝对接正向微导管技术在开通冠状动脉慢性完全闭塞病变中的应用分析Analysis of active greeting technique combined with tip in technique in recanalization of coronary chronic total occlusion lesions
陆阳,李松华,单兴华,许旭东,郭志福,赵仙先
摘要(Abstract):
目的 探讨主动迎接技术(AGT)联合逆向导丝对接正向微导管(TIP IN)技术开通冠状动脉慢性完全闭塞(CTO)病变的安全性及有效性。方法 纳入2019年3月至2022年3月中国人民解放军海军军医大学第一附属医院心血管内科20例连续应用AGT联合TIPIN技术尝试开通CTO病变的患者,对其安全性、有效性进行分析。结果 20例患者均为男性,平均年龄(58.2±12.1)岁,日本多中心CTO注册研究评分(J-CTO)为(2.90±0.64)分。平均手术时间为(146.5±54.7)min,对比剂用量为(213.0±78.7)ml,技术成功率为100%,住院期间主要不良心血管事件发生率为10%,均为围术期心肌梗死,观察1 d后好转。结论 AGT联合TIP IN技术开通CTO病变手术流程更加简化,安全可行。
关键词(KeyWords): 慢性完全闭塞;经皮冠状动脉介入治疗;主动迎接技术;逆向导丝对接正向微导管技术
基金项目(Foundation):
作者(Author): 陆阳,李松华,单兴华,许旭东,郭志福,赵仙先
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