黄泽涵,马墩亮,骆炳政,钟志安,廖洪涛,张斌

• 1:广东省医学科学院广东省人民医院广东省心血管病研究所心内科

摘要(Abstract)：

目的引入控制性正向导引(CAN)技术并评估其对于冠状动脉慢性完全闭塞(CTO)病变行逆向经皮冠状动脉介入治疗(PCI)中微导管通过闭塞病变的有效性及安全性。方法入选2018年1月1日至2019年1月31日行PCI的368例CTO病变患者中使用CAN技术的患者10例。CAN关键步骤为逆向导丝进入正向微导管后,尽量推送逆向微导管前进至最远距离,然后送入正向球囊锚定逆向导丝,接着向外牵拉正向指引导管,导引逆向微导管前进至正向指引内,最后将正向指引导管重新送入冠状动脉开口,进一步通过标准逆向技术实现导丝体外化,并完成PCI。收集CAN技术手术成功率及其并发症资料。结果本研究对10例患者采用CAN技术。所有患者均取得了手术成功(10/10),且未观察到手术相关并发症发生。结论 CAN新技术是安全有效可行的。

关键词(KeyWords)： 控制性正向导引技术;冠状动脉慢性完全闭塞;逆向技术

Abstract:

Keywords:

基金项目(Foundation): 广东省省级科技计划项目(2016A020216022)

作者(Author): 黄泽涵,马墩亮,骆炳政,钟志安,廖洪涛,张斌

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