李成祥

• 1:第四军医大学西京医院心脏内科

摘要(Abstract)：

<正>由于传统的低成功率和再狭窄、再闭塞高发生率,慢性完全闭塞(chronic total occlusion,C T O)病变被称为经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)最后的堡垒。手术器械和导丝通过技术的最新发展显著增加了CTO病变PCI的成功率,并保持较低的并发症发生率,特别是与单纯的前向导丝技术相比,CTO逆向技术显著提高了手术成功率。大多数介

关键词(KeyWords)： 冠状动脉;慢性闭塞病变;逆向技术

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金资助(81100234)

作者(Author): 李成祥

参考文献(References)：

• [1]King SB 3rd,Aversano T,Ballard WL,et al.ACCF/AHA/SCAI 2007update of the clinical competence statement on cardiac interventional procedures:a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training(writing Committee to Update the 1998 Clinical Competence Statement on Recommendations for the Assessment and Maintenance of Proficiency in Coronary Interventional Procedures).J Am Coll Cardiol,2007,50:82-108.
• [2]Jaup T,Allemann Y,Urban P,et al.The Magnum wire for percutaneous coronary balloon angioplasty in 723 patients.J Invasive Cardiol,1995,7:259-264.
• [3]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,2012,59:991-997.
• [4]张慧平,孙福成.冠状动脉慢性完全闭塞病变的介入治疗现状.中国介入心脏病学杂志,2013,21:251-255.
• [5]Grantham JA,Marso SP,Spertus J,et al.Chronic total occlusion angioplasty in the United States.JACC Cardiovasc Interv,2009,2:479-486.
• [6]Garcia S,Sandoval Y,Roukoz H,et al.Outcomes after complete versus incomplete revascularization of patients with multivessel coronary artery disease:a meta-analysis of 89,883 patients enrolled in random-ized clinical trials and observational studies.J Am Coll Cardiol,2013,62:1421-1431.
• [7]Sakakura K,Nakano M,Otsuka F,et al.Comparison of pathology of chronic total occlusion with and without coronary artery bypass graft.Euro Heart J,2014,35:1683-1693.
• [8]Ng R,Hui PY,Beyer A,et al.Successful retrograde recanalization of a left anterior descending artery chronic total occlusion through a previously placed left anterior descending-to-diagonal artery stent.J Invasive Cardiol,2010,22:E16-E18.
• [9]Tsujita K,Maehara A,Mintz GS,et al.Intravascular ultrasound comparison of the retrograde versus antegrade approach to percutaneous intervention for chronic total coronary occlusions.JACC Cardiovasc Interv,2009,2:846-854.
• [10]Rathore S,Hakeem A,Pauriah M,et al.A comparison of the transradial and the transfemoral approach in chronic total occlusion percutaneous coronary intervention.Catheter Cardiovasc Interv,2009,73:883-887.
• [11]Christ G,Glogar D.Successful recanalization of a chronic occluded left anterior descending coronary artery with a modifi cation of the retrograde proximal true lumen puncture technique:The antegrade microcatheter probing technique.Catheter Cardiovasc Interv,2009,73:272-275.
• [12]Kim MH,Yu LH,Mitsudo K.A new retrograde wiring technique for chronic total occlusion.Catheter Cardiovasc Interv,2010,75:117-119.
• [13]Furuichi S,Satoh T.Intravascular ultrasound-guided retrograde wiring for chronic total occlusion.Catheter Cardiovasc Interv,2010,75:214-221.
• [14]Ge J,Zhang F.Retrograde recanalization of chronic total coronary artery occlusion using a novel‘reverse wire trapping’technique.Catheter Cardiovasc Interv,2009,74:855-860.
• [15]Utunomiya M,Katoh O,Nakamura S.Percutaneous coronary intervention for a right coronary artery stent occlusion using retrograde delivery of a sirolimus-eluting stent via a septal perforator.Catheter Cardiovasc Interv,2009,73:475-480.
• [16]Bansal D,Uretsky BF.Treatment of chronic total occlusion by retrograde passage of stents through an epicardial collateral vessel.Catheter Cardiovasc Interv,2008,72:365-369.
• [17]Lee NH,Seo HS,Choi JH,et al.Recanalization strategy of retrograde angioplasty in patients with coronary chronic total occlusion-Analysis of 24 cases,focusing on technical aspects and complications.Int J Cardiol,2010,144:219-229.
• [18]Suh J,Cho YH,Lee NH.Bail-out reverse controlled antegrade and retrograde subintimal tracking accompanied by multiple complications in coronary chronic total occlusion.J Invasive Cardiol,2008,20:E334-E337.