赵红岩,李为民

• 1:哈尔滨医科大学附属第一医院心内科
• 2:辽宁省人民医院心内科

摘要(Abstract)：

<正>我国开展冠状动脉旁路移植术(coronary artery bypass grafting,CABG)治疗冠状动脉粥样硬化性心脏病(冠心病)已有40余年的历史,手术例数逐年增长,2016年已达到47 207例[1-2]。CABG术后的冠心病患者在临床工作中日益增多,CABG术后的冠状动脉慢性完全闭塞(chronic total occlusion,

关键词(KeyWords)： 冠状动脉旁路移植术;慢性完全闭塞病变;经皮冠状动脉介入治疗

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 赵红岩,李为民

参考文献(References)：

• [1]陈伟伟,高润霖,刘力生,等.《中国心血管病报告2017》概要.中国循环杂志,2018,33(1):1-8.
• [2]黑飞龙,朱德明,侯晓彤,等.2016年中国心脏外科和体外循环数据白皮书.中国体外循环杂志,2017,15:65-67.
• [3]中国冠状动脉慢性闭塞病变介入治疗俱乐部.中国冠状动脉慢性完全闭塞病变介入治疗推荐路径.中国介入心脏病学杂志,2018,26(3):121-128.
• [4]Fefer P,Knudtson ML,Cheema AN,et al.Current perspectives on coronary chronic total occlusions:the Canadian multicenter chronic total occlusions registry.J Am Coll Cardiol,2012,59(11):991-997.
• [5]Kolh P,Windecker S,Alfonso F,et al.2014 ESC/EACTS guidelines on myocardial revascularization:the task force on myocardial revascularization of the European Society of Cardiology(ESC)and the European Association for Cardio-Thoracic Surgery(EACTS)developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions(EAPCI).Eur JCardiothorac Surg,2014,46(4):517-592.
• [6]Kitamura S.Physiological and metabolic eff ects of grafts in coronary artery bypass surgery.Circ J,2011,75(4):766-772.
• [7]Pereg D,Fefer P,Samuel M,et al.Native coronary artery patency after coronary artery bypass surgery.JACC Cardiovasc Interv,2014,7(7):761-767.
• [8]Azzalini L,Ojeda S,Karatasakis A,et al.Long-term outcomes of percutaneous coronary intervention for chronic total occlusion in patients who have undergone coronary artery bypass grafting vs those who have not.Can J Cardiol,2018,34(3):310-318.
• [9]Toma A,St?hli B,Gick M,et al.Long-term follow-up of patients with previous coronary artery bypass grafting undergoing percutaneous coronary intervention for chronic total occlusion.Am JCardiol,2016,118(11):1641-1646.
• [10]Potter BJ,Matteau A,Noiseux N,et al.High stakes:CTO-PCI in the post-CABG patient.Can J Cardiol,2018,34(3):238-240.
• [11]Michael TT,Karmpaliotis D,Brilakis ES,et al.Impact of prior coronary artery bypass graft surgery on chronic total occlusion revascularisation:insights from a multicentre US registry.Heart,2013,99(20):1515-1518.
• [12]Sakakura K,Nakano M,Otsuka F,et al.Comparison of pathology of chronic total occlusion with and without coronary artery bypass graft.Eur Heart J,2014,35(25):1683-1693.
• [13]Gyenes G,Norris CM,Graham MM,et al.Percutaneous revascularization improves outcomes in patients with prior coronary artery bypass surgery.Catheter Cardiovasc Interv,2013,82(3):E148-E154.
• [14]Liu Y,Zhou X,Jiang H,et al.Percutaneous coronary intervention strategies and prognosis for graft lesions following coronary artery bypass grafting.Exp Ther Med,2015,9(5):1656-1664.
• [15]Brilakis ES,Rao SV,Banerjee S,et al.Percutaneous coronary intervention in native arteries versus bypass grafts in prior coronary artery bypass grafting patients.JACC Cardiovasc Interv,2011,4(8):844-850.
• [16]Alessandrino G,Chevalier B,Lefèvre T,et al.A clinical and angiographic scoring system to predict the probability of successful fi rst-attempt percutaneous coronary intervention in patients with ttal chronic coronary occlusion.JACC Cardiovasc Interv,2015,8(12):1540-1548.
• [17]Maeremans J,Spratt JC,Knaapen P,et al.Towards a contemporary,comprehensive scoring system for determining technical outcomes of hybrid percutaneous chronic total occlusion treatment:the RECHARGE score.Catheter Cardiovasc Interv,2018,91(2):192-202.
• [18]Patel VG,Brayton KM,Tamayo A,et al.Angiographic success and procedural complications in patients undergoing percutaneous coronary chronic total occlusion interve ntions.JACC Cardiovasc Interv,2013,6(2):128-136.
• [19]Dautov R,Manh Nguyen C,Altisent O,et al.Recanalization of chronic total occlusions in patients with previous coronary bypass surgery and consideration of retrograde access via saphenous vein grafts.Circ Cardiovasc Interv,2016,9(7):e003515.
• [20]Nguyen-Trong PK,Alaswad K,Karmpaliotis D,et al.Use of saphenous vein bypass grafts for retrograde recanalization of coronary chronic total occlusions:insights from a multicenter registry.J Invasive Cardiol,2016,28(6):218-224.
• [21]Lichtenwalter C,Banerjee S,Brilakis ES.Dual guide catheter technique for treating native coronary artery lesions through tortuous internal mammary grafts:separating equipment delivery from target lesion visualization.J Invasive Cardiol,2010,22(5):E78-E81.