正向夹层再入真腔技术在慢性完全闭塞病变介入治疗中的应用体会

赵林; 汝磊生; 柳景华

doi:10.13201/j.issn.1001-1439.2021.10.001

正向夹层再入真腔技术在慢性完全闭塞病变介入治疗中的应用体会

- 1. 首都医科大学附属北京安贞医院心内科冠心病中心(北京,100029);
- 2. 中国人民解放军联勤保障部队980医院白求恩国际和平医院

详细信息

通讯作者: 柳景华,E-mail:liujinghua@vip.sina.com

中图分类号: R543.3

收稿日期: 2021-09-10

Primary experience of antegrade dissection reentry technique used in percutaneous coronary intervention for chronic total occlusion lesion

- 1. Center for Coronary Artery Disease, Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing,100029, China;
- 2. 980 Hospital of PLA, Bethune International Peace Hospital

More Information

Corresponding author: LIU Jinghua, E-mail: liujinghua@vip.sina.com

Received Date: 10 September 2021

摘要

摘要: 慢性完全闭塞(CTO)病变目前被认为是经皮冠状动脉介入治疗最后的堡垒。很多技术被发明应用于CTO的治疗。Stingray球囊辅助下正向夹层再入真腔技术目前是CTO介入治疗的主要方法之一。适时启动ADR、术中预防控制血肿有利于提高ADR成功率和手术效率。ADR的成功率和长期预后并不劣于正向和逆向技术。在适合的CTO患者和病变中尽早启动,术中注意血肿形成,规范操作能够提高ADR成功率,改善患者预后。
- 正向夹层再入真腔技术 /
- 慢性完全闭塞病变 /
- 经皮冠状动脉介入治疗
Abstract: Until to now chronic total occlusion(CTO) lesion is still regarded as the final frontier( "final fortress") of percutaneous coronary intervention(PCI). A lot of techniques have been invented and used in PCI of CTO. Stingray balloon assistant antegrade dissection reentry(ADR) is one of main techniques for PCI of CTO. Staring ADR at appropriate time and preventing and controlling subintimal hematoma benefit success and efficacy of ADR. Long-term prognosis and success rate of ADR is not inferior than antegrade and retrograde techniques. Starting ADR as early as possible in appropriate lesions and patients and controlling the hematoma and standardized operation during ADR procedure can improve ADR success rate and prognosis of patients with CTO lesions.
- antegrade dissection reentry /
- chronic total occlusion /
- percutaneous coronary intervention

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参考文献(16)

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