中国冠状动脉慢性完全闭塞病变介入治疗推荐路径
摘要(Abstract):
<正>1概论冠状动脉慢性完全闭塞(chronic total occlusion,CTO)病变是指正向TIMI血流0级且闭塞时间≥3个月的冠状动脉阻塞性病变,如果存在同侧桥侧支或同侧侧支血管,尽管闭塞远端血管TIMI血流>0级,仍视为完全闭塞病变[1-2]。既往研究发现有高达20%的冠心病患者同时合并至少一处CTO病变[3],因其接受经皮冠状动脉介入治
关键词(KeyWords): 冠状动脉慢性完全闭塞;经皮冠状动脉介入治疗
基金项目(Foundation):
作者(Author):
参考文献(References):
- [1]Sianos G,Werner GS,Galassi AR,et al.Recanalisation of chronic total coronary occlusions:2012 consensus document from the Euro CTO club.Euro Intervention,2012,8(1):139-145.
- [2]Stone GW,Kandzari DE,Mehran R,et al.Percutaneous recanalization of chronically occluded coronary arteries:a consensus document:part I.Circulation,2005,112(15):2364-2372.
- [3]Azzalini L,Jolicoeur EM,Pighi M,et al.Epidemiology,Management Strategies,and Outcomes of Patients With Chronic Total Coronary Occlusion.Am J Cardiol,2016,118(8):1128-1135.
- [4]Grantham JA,Jones PG,Cannon L,et al.Quantifying the early health status benefi ts of successful chronic total occlusion recanalization:Results f rom the Flow Cardia's Approach to Chronic Total Occlusion Recanalization(FACTOR)Trial.Circ Cardiovasc Qual Outcomes,2010,3(3):284-290.
- [5]Rossello X,Pujadas S,Serra A,et al.Assessment of Inducible Myocardial Ischemia,Quality of Life,and Functional Status Af ter Successf ul Percutaneous Revascularization in Patients With Chronic Total Coronary Occlusion.Am J Cardiol,2016,117(5):720-726.
- [6]Ybarra LF,Dautov R,Gibrat C,et al.Midterm anginarelated quality of life benefi ts after percutaneous coronary intervention of chronic total occlusions.Can J Cardiol,2017,33(12):1668-1674.
- [7]Baks T,van Geuns RJ,Duncker DJ,et al.Prediction of left ventricular function after drug-eluting stent implantation for chronic total coronary occlusions.J Am Coll Cardiol,2006,47(4):721-725.
- [8]Hoebers LP,Claessen BE,Elias J,et al.Meta-analysis on the impact of percutaneous coronary intervention of chronic total occlusions on left ventricular function and clinical outcome.Int J Cardiol,2015,187:90-96.
- [9]Mehran R,Claessen BE,Godino C,et al.Long-term outcome of percutaneous coronary intervention for chronic total occlusions.JACC Cardiovasc Interv,2011,4(9):952-961.
- [10]Joyal D,Afi lalo J,Rinfret S.Effectiveness of recanalization of chronic total occlusions:a systematic review and metaanalysis.Am Heart J,2010,160(1):179-187.
- [11]Jang WJ,Yang JH1,Choi SH,et al.Long-term survival benefi t of revascularization compared with medical therapy in patients with coronary chronic total occlusion and welldeveloped collateral circulation.JACC Cardiovasc Interv,2015,8(2):271-279.
- [12]George S,Cockburn J,Clayton TC,et al.Long-term followup of elective chronic total coronary occlusion angioplasty:analysis from the U.K.Central Cardiac Audit Database.J Am Coll Cardiol,2014,64(3):235-243.
- [13]Toma A,Gick M,Minners J,et al.Survival after percutaneous coronary intervention for chronic total occlusion.Clin Res Cardiol,2016,105(11):921-929.
- [14]Christakopoulos GE,Christopoulos G,Carlino M,et al.Meta-analysis of clinical outcomes of patients who underwent percutaneous coronary interventions f or chronic total occlusions.Am J Cardiol,2015,115(10):1367-1375.
- [15]Tomasello SD,Boukhris M,Giubilato S,et al.Management strategies in patients affected by chronic total occlusions:results from the Italian Registry of Chronic Total Occlusions.Eur Heart J,2015,36(45):3189-3198.
- [16]Azzalini L,Torregrossa G,Puskas JD,et al.Percutaneous revascularization of chronic total occlusions:Rationale,indications,techniques,and the cardiac surgeon's point of view.Int J Cardiol,2017,231:90-96.
- [17]Galassi AR,Brilakis ES,Boukhris M,et al.Appropriateness of percutaneous revascularization of coronary chronic total occlusions:an overview.Eur Heart J,2016,37(35):2692-2700.
- [18]Grantham JA,Marso SP,Spertus J,et al.Chronic total occlusion angioplasty in the United States.JACC Cardiovasc Interv,2009,2(6):479-486.
- [19]Prasad A,Rihal CS,Lennon RJ,et al.Trends in outcomes af ter percutaneous coronary intervention for chronic total occlusions:a 25-year experience from the Mayo Clinic.J Am Coll Cardiol,2007,49(15):1611-1618.
- [20]葛均波,葛雷,钱菊英,等.逆向导引钢丝技术治疗慢性完全闭塞病变一例.中国介入心脏病学杂志,2006,14(6):343-345.
- [21]Ge J,Zhang F.Retrograde recanalization of chronic total coronary artery occlusion using a novel“reverse wire trapping”technique.Catheter Cardiovasc Interv,2009,74(6):855-860.
- [22]Ma JY,Qian JY,Ge L,et al.Retrograde approach for the recanalization of coronary chronic total occlusion:collateral selection and collateral related complication.Chin Med J(Engl),2013,126(6):1086-1091.
- [23]Galassi AR,Tomasello SD,Reifart N,et al.In-hospital outcomes of percutaneous coronary intervention in patients with chronic total occlusion:insights f rom the ERCTO(European Registry of Chronic Total Occlusion)registry.Euro Intervention,2011,7(4):472-479.
- [24]Morino Y,Kimura T,Hayashi Y,et al.In-hospital outcomes of contemporary percutaneous coronary intervention in patients with chronic total occlusion insights f rom the J-CTO Registry(Multicenter CTO Registry in Japan).JACC Cardiovasc Interv,2010,3(2):143-151.
- [25]Christopoulos G,Menon RV,Karmpaliotis D,et al.Application of the“hybrid approach”to chronic total occlusions in patients with previous coronary artery bypass graft surgery(from a Contemporary Multicenter US registry).Am J Cardiol,2014,113(12):1990-1994.
- [26]Morino Y,Abe M,Morimoto T,Kimura T,et al.Predicting successful guidewire crossing through chronic total occlusion of native coronary lesions within 30 minutes:the J-CTO(Multicenter CTO Registry in Japan)score as a diffi culty grading and time assessment tool.JACC Cardiovasc Interv,2011,4(2):213-221.
- [27]Werner GS,Ferrari M,Heinke S,et al.Angiographic assessment of collateral connections in comparison with invasively determined collateral function in chronic coronary occlusions.Circulation,2003,107(15):1972-1977.
- [28]Mc Entegart MB,Badar AA,Ahmad FA,et al.The collateral circulation of coronary chronic total occlusions.Euro Intervention,2016,11(14):e1596-1603.
- [29]Huang CC,Lee CK,Meng SW,et al.Collateral Channel Size and Tortuosity Predict Retrograde Percutaneous Coronary Intervention Success for Chronic Total Occlusion.Circulation Cardiovascular interventions 2018,11:e005124.[Epub ahead of print]
- [30]Whitlow PL,Burke MN,Lombardi WL,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 Techniq ue in Chronic Total Occlusions)t rial.JACC Cardiovasc Interv,2012,5(4):393-401.
- [31]Maeremans J,Walsh S,Knaapen P,et al.The hybrid algorithm for treating chronic total occlusions in Europe:The RECHARGE Registry.J Am Coll Cardiol,2016,68(18):1958-1970.
- [32]Colombo A,Mikhail GW,Michev I,et al.Treating chronic total occlusions using subintimal tracking and reentry:the STAR technique.Catheter Cardiovasc Interv,2005,64(4):407-412.
- [33]Galassi AR,Tomasello SD,Costanzo L,et al.Mini-STAR as bail-out strategy for percutaneous coronary intervention of chronic total occlusion.Catheter Cardiovasc Interv,2012,79(1):30-40.
- [34]Lombardi WL.Retrograde PCI:what will they think of next?J Invasive Cardiol,2009,21(10):543.
- [35]Suzuki Y,Tsuchikane E,Katoh O,et al.Outcomes of Percutaneous Coronary Interventions f or Chronic Total Occlusion Perf ormed by Highly Experienced Japanese Specialists:The First Report From the Japanese CTO-PCI Expert Registry.JACC Cardiovasc Interv,2017,10(21):2144-2154.
- [36]Kinnaird T,Anderson R,Ossei-Gerning N,et al.Vascular access site and outcomes among 26,807 chronic total coronary occlusion angioplasty cases f rom the British cardiovascular interventions society national database.JACC Cardiovasc Interv,2017,10(7):635-644.
- [37]Galassi AR,Sumitsuji S,Boukhris M,et al.Utility of Intravascular Ultrasound in Percutaneous Revascularization of Chronic Total Occlusions:An Overview.JACC Cardiovasc Interv,2016,9(19):1979-1991.
- [38]Burzotta F,Trani C,Mazzari MA,et al.Use of a second buddy wire during percutaneous coronary interventions:a simple solution for some challenging situations.J Invasive Cardiol,2005,17(3):171-174.
- [39]葛均波,黄东,张峰,等.螺旋穿透微导管(Tornus)在冠状动脉慢性完全闭塞病变介入治疗中的应用.中国介入心脏病学杂志,2008,16(4):184-186.
- [40]Dautov R,Urena M,Nguyen CM,et al.Safety and eff ectiveness of the surf ing technique to cross septal collateral channels during retrograde chronic total occlusion percutaneous coronary intervention.Euro Intervention,2017,12(15):e1859-e1867.
- [41]Surmely JF,Tsuchikane E,Katoh O,et al.New concept for CTO recanalization using controlled antegrade and retrograde subintimal tracking:the CART technique.J Invasive Cardiol,2006,18(7):334-338.
- [42]Rathore S,Katoh O,Tuschikane E,et al.A novel modifi cation of the retrograde approach for the recanalization of chronic total occlusion of the coronary arteries intravascular ultrasound-guided reverse controlled antegrade and retrograde tracking.JACC Cardiovasc Interv,2010,3(2):155-164.
- [43]Kim MH,Yu LH,Mitsudo K.A new retrograde wiring technique for chronic total occlusion.Catheter Cardiovasc Interv,2010,75(1):117-119.
- [44]Muramatsu T,Tsukahara R,Ito Y.“Rendezvous in coronary”technique with the retrograde approach for chronic total occlusion.J Invasive Cardiol,2010,22(9):E179-E182.