冠状动脉慢性完全闭塞病变内膜下斑块修饰技术的演变及治疗进展The progress on the subintima plaque modification of chronic total occlusion percutaneous coronary intervention
刘佟,吴铮,柳景华
摘要(Abstract):
随着手术技巧及策略转换技术的成熟,慢性完全闭塞病变血运重建成功率逐渐提高。当手术过程中有导丝不能顺利进入远端血管真腔,血管内超声证实导丝大部分位于内膜下,且相应部位有比较大的边支等情况存在,应用内膜下斑块修饰技术可对内膜下斑块进行挤压改善血流、缓解症状并提高再次经皮冠状动脉介入治疗手术效率与成功率。
关键词(KeyWords): 慢性完全闭塞病变;经皮冠状动脉介入治疗;内膜下斑块修饰技术
基金项目(Foundation): 国家自然科学基金项目(81970291)
作者(Author): 刘佟,吴铮,柳景华
参考文献(References):
- [1]Holmes Jr DR,Barsness GW.Percutaneous coronary intervention for chronic total occlusions.Circ Cardiovasc Interv,2019,12(8):e008321.
- [2]Tajti P,Burke MN,Karmpaliotis D,et al.Update in the percutaneous management of coronary chronic total occlusions.JACC Cardiovasc Interv,2018,11(7):615-625.
- [3]Iannaccone G,Scarparo P,Wilschut J,et al.Current approaches for treatment of coronary chronic occlusions.Expert Rev Med Devices,2019,16(11):941-954.
- [4]Colombo A,Mi khai I GW,Mi chev I,et al.Treating chronic total occlusions using subintimal tracking and reentry:the STAR technique.Catheter Cardiovasc Interv,2005,64(4):407-411.
- [5]Galassi AR,Tomasello SD,Costanzo L,et al.Mini-STAR as bailout strategy for percutaneous coronary intervention of chronic total occlusion.Catheter Cardiovasc Interv,2012,79(1):30-40.
- [6]Shuvy M,Strauss BH.The mini-STAR technique in chronic total occlusions:maximizing the interventional toolbox.Can J Cardiol,2014,30(11):1253-1255.
- [7]Wilson WM,Bagnall AJ,Spratt JC.In case of procedure failure:facilitating future success.Interv Cardiol,2013,5(5):521-531.
- [8]Visconti G,Focaccio A,Donahue M,et al.Elective versus deferred stenting following subintimal recanalization of coronary chronic total occlusions.Catheter Cardiovasc Interv,2015,85(3):382-390.
- [9]Goleski PJ,Nakamura K,Liebeskind E,et al.Revascularization of coronary chronic total occlusions with subintimal tracking and reentry followed by deferred stenting:experience from a highvolume referral center.Catheter Cardiovasc Interv,2019,93(2):191-198.
- [10]Hirai T,Grantham JA,Sapontis J,et al.Impact of subintimal plaque modifi cation procedures on health status after unsuccessful chronic total occlusion angioplasty.Catheter Cardiovasc Interv,2018,91(6):1035-1042.
- [11]Xenogiannis I,Choi JW,Alaswad K,et al.Outcomes of subintimal plaque modifi cation in chronic total occlusion percutaneous coronary intervention.Catheter Cardiovasc Interv,2019,96(5):1029-1035.
- [12]Hirai T,Grantham JA,Gosch KL,et al.Impact of subintimal or plaque modifi cation on repeat chronic total occlusion angioplasty following an unsuccessful attempt.JACC Cardiovasc Interv,2020,138(8):1010-1012.
- [13]Jia RF,Li L,Zhu Y,et al.Modifi ed subintimal plaque modifi cation improving f uture recanalization of chronic total occlusion percutaneous coronary intervention.J Geriatr Cardiol,2020,17(7):393-399.
- [14]Ybarra LF,Dandona S,Daneault B,et al.Drug-coated balloon after subintimal plaque modifi cation in failed coronary chronic total occlusion percutaneous coronary intervention:a novel concept.Catheter Cardiovasc Interv,2020,96(3):609-613.
- [15]Hall AB,Brilakis ES.Hybrid 2.0:subintimal plaque modifi cation f or f acilitation of f uture success in chronic total occlusion percutaneous coronary intervention.Catheter Cardiovasc Interv,2019,93(2):199-201.