优化左心室收缩功能不全合并冠状动脉慢性完全闭塞患者介入治疗结局的研究进展Advances in optimizing the outcome of percutaneous coronary intervention in patients with left ventricular systolic dysfunction and coronary chronic total occlusion
张宇超,吴铮,王韶屏,柳景华
摘要(Abstract):
冠状动脉慢性完全闭塞(CTO)病变是经皮冠状动脉介入治疗(PCI)领域极具挑战的病变之一。在接受CTO-PCI的患者中,左心室收缩功能不全(LVSD)较为常见,这类患者通常表现出更为复杂的冠状动脉病变以及较多合并症,面临更高的PCI相关并发症发生风险,其血运重建临床获益亦存在争议。如何优化CTO-PCI策略及术后管理并改善患者结局,是当前亟待解决的问题。本文就LVSD合并CTO病变患者的临床特征、介入治疗获益、介入治疗策略、术后管理和近远期预后等方面进行综述,以期为优化LVSD合并CTO病变患者介入治疗的结局提供参考。
关键词(KeyWords): 慢性完全闭塞;左心室收缩功能不全;经皮冠状动脉介入治疗
基金项目(Foundation): 国家自然科学基金项目(81970291、82170344)
作者(Author): 张宇超,吴铮,王韶屏,柳景华
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