冠状动脉慢性完全闭塞病变经皮冠状动脉介入治疗并发症防治策略
张奇
摘要(Abstract):
<正>随着技术、经验及器械的发展,冠状动脉慢性完全闭塞病变(chronic total occlusion,CTO)经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)成功率在近十年取得了迅速的提高[1]。尽管经验的积累和技术的规范在一定程度上可降低CTO-PCI治疗并发症的发生率,但与常规PCI相比,CTO-PCI操作更为复杂,技术学习曲线也相对更长,
关键词(KeyWords): 冠状动脉慢性完全闭塞病变;经皮冠状动脉介入治疗;并发症
基金项目(Foundation): 国家自然科学基金面上项目(81470392);; 上海市浦东新区卫生系统重点学科群(项目编号:PWZxq2017-05)
作者(Author): 张奇
参考文献(References):
- [1]Wilson WM,Walsh SJ,Yan AT,et al.Hybrid approach improves success of chronic total occlusion angioplasty.Heart,2016,102(18):1486-1493.
- [2]Danek BA,Karatasakis A,Tajti P,et al.Incidence,Treatment,and Outcomes of Coronary Perforation During Chronic Total Occlusion Percutaneous Coronary Intervention.Am J Cardiol,2017,120(8):1285-1292.
- [3]Salisbury AC,Sapontis J,Grantham JA,et al.Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention in Patients With Diabetes:Insights From the OPEN CTO Registry.JACC Cardiovasc Interv,2017,10(21):2174-2181.
- [4]Karmpaliotis D,Karatasakis A,Alaswad K,et al.Outcomes With the Use of the Retrograde Approach for Coronary Chronic Total Occlusion Interventions in a Contemporary Multicenter US Registry.Circ Cardiovasc Interv,2016,9(6):pii:e003434.
- [5]Shimony A,Zahger D,Van Straten M,et al.Incidence,risk factors,management and outcomes of coronary artery perforation during percutaneous coronary intervention.Am J Cardiol,2009,104(12):1674-1677.
- [6]Song L,Maehara A,Finn MT,et al.Intravascular Ultrasound Analysis of Intraplaque Versus Subintimal Tracking in Percutaneous Intervention for Coronary Chronic Total Occlusions and Association With Procedural Outcomes.JACC Cardiovasc Interv,2017,10(10):1011-1021.
- [7]Carlino M,Figini F,Ruparelia N,et al.Predictors of restenosis following contemporary subintimal tracking and reentry technique:The importance of final TIMI flow grade.Catheter Cardiovasc Interv,2016,87(5):884-892.
- [8]Shorrock D,Michael TT,Patel V,et al.Frequency and outcomes of aortocoronary dissection during percutaneous coronary intervention of chronic total occlusions:a case series and systematic review of the literature.Catheter Cardiovasc Interv,2014,84(4):670-675.
- [9]Patel VG,Brayton KM,Tamayo A,et al.Angiographic success and procedural complications in patients undergoing percutaneous coronary chronic total occlusion interventions:a weighted meta-analysis of 18,061 patients from 65 studies.JACC Cardiovasc Interv,2013,6(2):128-136.
- [10]Carstensen S,Ward MR.Iatrogenic aortocoronary dissection:the case for immediate aortoostial stenting.Heart Lung Circ,2008,17(4):325-329.
- [11]Christakopoulos GE,Karmpaliotis D,Alaswad K,et al.Contrast Utilization During Chronic Total Occlusion Percutaneous Coronary Intervention:Insights From a Contemporary Multicenter Registry.J Invasive Cardiol,2016,28(7):288-294.
- [12]Pavlidis AN,Jones DA,Sirker A,et al.Prevention of contrastinduced acute kidney injury after percutaneous coronary intervention for chronic total coronary occlusions.Am J Cardiol,2015,115(6):844-851.
- [13]Christakopoulos GE,Christopoulos G,Karmpaliotis D,et al.Predictors of Excess Patient Radiation Exposure During Chronic Total Occlusion Coronary Intervention:Insights From a Contemporary Multicentre Registry.Can J Cardiol,2017,33(4):478-484.
- [14]Pavlidis AN,Jones DA,Sirker A,et al.Reducing radiation in chronic total occlusion percutaneous coronary interventions.Curr Cardiol Rev,2016,12(1):12-17.