Tsuchikane Etsuo, Katoh Osamu, Suzuki Takahiko
Toyohashi Heart Center, Department of Cardiology, Gobudori 21-1, Oyama, Toyohashi, Aichi, 441-8530, Japan.
Future Cardiol. 2006 Nov;2(6):709-20. doi: 10.2217/14796678.2.6.709.
Percutaneous coronary intervention (PCI) of chronic total occlusion (CTO) is one of the greatest challenges in interventional cardiology. The procedural success rate is relatively low, mainly due to guidewire failure to cross the occlusion. An effective wiring technique is the key to the success of CTO-PCIs. However, success or failure of wire crossing is mostly dependent on an operator's experience and skill. To improve the success rate of CTO-PCI in current interventional cardiology, several techniques were introduced in the Japanese CTO club. In this article, some advanced wiring techniques developed by the Japanese CTO club will be explored.
慢性完全闭塞病变（CTO）的经皮冠状动脉介入治疗（PCI）是介入心脏病学中最大的挑战之一。手术成功率相对较低，主要原因是导丝无法穿过闭塞病变。有效的导丝操控技术是CTO-PCI成功的关键。然而，导丝能否成功穿过病变大多取决于术者的经验和技巧。为提高当前介入心脏病学中CTO-PCI的成功率，日本CTO俱乐部引入了几种技术。在本文中，将探讨日本CTO俱乐部开发的一些先进导丝操控技术。
