徐承义,鄢华,宋丹,彭剑,苏晞

• 1:武汉亚洲心脏病医院心内科

摘要(Abstract)：

<正>1临床资料患者男,61岁。因"12年前胸痛一次,反复胸闷10 d"入住武汉亚洲心脏病医院。患者于12年前某日劳作时突发胸痛,位于胸骨后,性质不清,程度重,伴出汗,向左上肢放射,无黑矇、晕厥、恶心、呕吐等不适。症状持续约1 h未缓解,于当地医院诊断"急性心肌梗死",给予药物治疗(具体不详),胸痛持续约5 h缓解,未行血运重建治疗。出院后未给予冠心病二级预防用药,但无胸痛症状发作。10余天前

关键词(KeyWords)： 慢性完全闭塞病变;穿透导管;重入真腔系统;正向夹层再次进入技术

Abstract:

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基金项目(Foundation):

作者(Author): 徐承义,鄢华,宋丹,彭剑,苏晞

参考文献(References)：

• [1]Werner GS,Schofer J,Sievert H,et al.Multicentre experience with the Bridge Point devices to facilitate recanalisation of chronic total coronary occlusions through controlled subintimal re-entry.Euro Intervention,2011,7(2):192-200.
• [2]Wilson W,Spratt JC.Advances in procedural techniquesantegrade.Curr Cardiol Rev,2014,10(2):127-144.
• [3]Whitlow P,Burke N,Lombardi W,et al.Use of a novel crossing and re-entry system in coronary chronic total occlusions that have failed standard crossing techniques:results of the FAST-CTOs(Facilitated Antegrade Steering Technique in Chronic Total Occlusions)trial.JACC Cardiovasc Interv,2012,5(4):393-401.
• [4]Mogabgab O,Patel V,Michael T,et al.Long-term outcomes with use of the Cross Boss and stingray coronary CTO crossing and re-entry devices.J Invasive Cardiol,2013,25(11):579-585.
• [5]Wilson W,Walsh S,Hanratty C,et al.A novel approach to the management of occlusive in-stent restenosis(ISR).Euro Intervention,2014,9(11):1285-1293.