陆阳,彭乾坤,季德,赵仙先

• 1:中国人民解放军海军军医大学第一附属医院心内科
• 2:安徽省泗县人民医院心血管内科

摘要(Abstract)：

冠状动脉慢性完全闭塞病变及钙化病变是导致冠状动脉介入治疗失败的常见原因。本文报道1例中年女性左前降支慢性闭塞合并严重钙化患者,冠状动脉介入治疗术中通过导丝绕行钙化病变重回远段真腔,从而开通左前降支,为临床实践提供新的治疗思路。

关键词(KeyWords)： 钙化;慢性完全闭塞病变;正向内膜下重回真腔技术

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 陆阳,彭乾坤,季德,赵仙先

参考文献(References)：

• [1]王伟民,霍勇,葛均波.冠状动脉钙化病变诊治中国专家共识[J].中国介入心脏病学杂志,2014,22(2):69-73.
• [2]Yoshihiro M,Mitsuru A,Takeshi M,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 difficulty grading and time assessment tool[J].J JACC Cardiovasc Interv,2011,4(2):213-221.
• [3]Colombo A,Mikhail GW,Michev I,et al.Treating chronic total occlusions using subintimal tracking and reentry:the STAR technique[J].Catheter Cardiovasc Interv,2005,64(4):407-411.
• [4]Michael TT,Papayannis AC,Banerjee S,et al.Subintimal dissection/reentry strategies in coronary chronic total occlusion interventions[J].Circ Cardiovasc Interv,2012,5(5):729-738.
• [5]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 technique in chronic total occlusions)trial[J].JACC Cardiovasc Interv,2012,5(4):393-401.
• [6]Werner GS,Schofer J,Sievert H,et al.Multicentre experience with the BridgePoint devices to facilitate recanalisation of chronic total coronary occlusions through controlled subintimal re-entry[J].EuroIntervention,2011,7(2):192-200.
• [7]温尚煜,于宏颖,王柏颖,等.冠状动脉斑块旋磨术治疗球囊无法通过的慢性完全闭塞病变[J].中华心血管病杂志,2013,41(6):466-469.
• [8]马剑英,郭俊杰,侯磊,等.冠状动脉内旋磨术在慢性完全闭塞病变介入治疗中应用的安全性和有效性[J].中华心血管病杂志,2018,46(4):274-278.
• [9]赵杰,吴永健,杨跃进,等.准分子激光冠状动脉成形术在慢性完全闭塞性病变中的应用[J].中国循环杂志,2017,32(3):222-226.
• [10]Fernandez JP,Hobson AR,McKenzie D,et al.Beyond the balloon:excimer coronary laser atherectomy used alone or in combination with rotational atherectomy in the treatment of chronic total occlusions,non-crossable and non-expansible coronary lesions[J].EuroIntervention,2013,9(2):243-250.
• [11]McKenzie D,Talwar S,Jokhi P,et al.How should I treat severe coronary artery calcification when it is not possible to dilate anballoon or deliver a RotaWire~(TM)[J]?EuroIntervention,2011,7(6):779-783.
• [12]Fernandez JP,Hobson AR,McKenzie D,et al.Treatment of calcific coronary stenosis with the use of excimer laser coronary atherectomy and rotational atherectomy[J].Interv Cardiol,2010,2(6):801-806.