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正向导丝“寻踪”技术在冠状动脉慢性完全闭塞病变逆向介入中的应用
引用本文:荆全民,杨明. 正向导丝“寻踪”技术在冠状动脉慢性完全闭塞病变逆向介入中的应用[J]. 心血管病学进展, 2011, 32(6): 763-767. DOI: 10.3969/j.issn.1004-3934.2011.06.002
作者姓名:荆全民  杨明
作者单位:1. 沈阳军区总医院心内科,辽宁沈阳,110840
2. 辽宁省营口市中心医院,辽宁 营口,115000
摘    要:冠状动脉慢性完全闭塞病变(chronic total occlusion,CTO)是冠心病介入治疗中最复杂病变之一、在技术上存在很大的挑战,近年来,随着新器械和新技术在CTO介入治疗中的应用,CTO开通的成功率明显提高,与单纯的前向导丝技术相比,采用逆向导丝技术治疗CTO病变的成功率更高,本文采取逆向导丝技术行经皮冠状动脉介入治疗并且应用了一种新的建立正向导丝通道,这种新的技术我们称为导丝"寻踪"技术,即正向导丝穿入逆向微导管来替代300 cm导丝交换的建立正向导丝通道方法,有技术优势,操作可行。

关 键 词:逆向导丝技术  慢性完全闭塞病变  导丝“寻踪”技术

Clinical Value of Antegrade-wire into Retrograde Microcatheter Technique for Chronic Total Occlusion Intervention
JING Quan-min,YANG Ming. Clinical Value of Antegrade-wire into Retrograde Microcatheter Technique for Chronic Total Occlusion Intervention[J]. Advances in Cardiovascular Diseases, 2011, 32(6): 763-767. DOI: 10.3969/j.issn.1004-3934.2011.06.002
Authors:JING Quan-min  YANG Ming
Affiliation:JING Quan-min,YANG Ming(1.Shenyang Northern Hospital,Shenyang City,Liaoning Prov 110840,2.Yingkou Central Hospital,Liaoning Prov 115000,Chain)
Abstract:Chronic total occlusion(CTO) is one of the most technically challenging.Comparing to antegrade wiring technique only,the retrograde wiring technique has a more higher success rate.Here we described a new guidewire technique to instead of the 300cm long wire technique for externalization when retrograde wire had enter the antegrade guide catheter.This new technology is so called the antegrade-wire into retrograde microcatheter or needle nose technique.This technique appears to be feasible and safe alternativ...
Keywords:retrograde wire  chronic total occlusion  antegrade-wire into retrograde microcatheter technique  
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