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冠状动脉慢性完全闭塞病变介入治疗完美攻略
引用本文:常亮,李拥军. 冠状动脉慢性完全闭塞病变介入治疗完美攻略[J]. 临床荟萃, 2018, 33(9): 741. DOI: 10.3969/j.issn.1004-583X.2018.09.002
作者姓名:常亮  李拥军
作者单位:河北医科大学第二医院 心内四科,河北 石家庄 050000
摘    要:
冠状动脉慢性完全闭塞病变( chronic total occlusion, CTO)被公认为是冠状动脉介入治疗(percutaneous coronary intervention, PCI)的难点,曾经是PCI的禁忌证。然而PCI医师对CTO的尝试持续超过30年,过去10余年来,得益于导丝通过技术的提高、新器械的使用以及对病理解剖理解的加深,CTO PCI领域取得了巨大进步。CTO成为冠脉介入领域全球性的热点,包括中国在内,越来越多的国家投入或涉足CTO PCI领域。本文就CTO PCI相关策略进行综述。

关 键 词:冠状动脉闭塞  冠状动脉  慢性完全闭塞  介入治疗  

Optimal percutaneous coronary interventional strategy of chronic total occlusion
Chang Liang,Li Yongjun. Optimal percutaneous coronary interventional strategy of chronic total occlusion[J]. Clinical Focus, 2018, 33(9): 741. DOI: 10.3969/j.issn.1004-583X.2018.09.002
Authors:Chang Liang  Li Yongjun
Affiliation:The Four Department of Cardiology, the Second Hospital of Hebei Medical University, ;Hebei Province, Shijiazhuang 050000, China
Abstract:
Chronic total occlusion (CTO) , which was regarded as a contraindication of PCI, is believed as a difficult point in percutaneous coronary intervention (PCI). However, thanks to the improvement of guide wire crossing technique, the use of new instruments and the deepening understanding of pathological anatomy, great progress has been made in CTO PCI over past 30 years . CTO has been a global hot spot in the field of PCI, with more and more countries touching upon it, including China. This paper reviews the strategies of CTO PCI.
Keywords:coronary occlusion; coronary artery  chronic total occlusion  intervention  
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