Department of Cardiology, Poznan Medical University, Cardiac and Rehabilitation Hospital Kowanówko, ul. Sanatoryjna 34, 64-600 Kowanówko k/Obornik Wlkp., Poland.
Circ Cardiovasc Interv. 2008 Oct;1(2):134-42. doi: 10.1161/CIRCINTERVENTIONS.108.789222.
The coronary venous system is routinely targeted during electrophysiological measurements or cardiac resynchronization therapy. However, several novel interventional techniques require coronary venous catheterization and visualization as well as transvenous delivery of devices and/or therapeutic agents. Recent reports suggest the possibility of a transvenous approach for the interventional treatment of refractory angina and mitral valve regurgitation. In addition, the coronary venous system has been used as a route for the delivery of stem cells in patients with left ventricular dysfunction due to ischemic heart disease. We review the potential value of using a coronary venous approach in association with recent therapeutic developments in the interventional treatment of structural and ischemic heart disease. We will also discuss techniques related to coronary venous catheterization.
冠状静脉系统在电生理测量或心脏再同步治疗期间通常是靶向目标。然而，一些新的介入技术需要冠状静脉置管和可视化，以及器械和/或治疗剂的经静脉输送。最近的报告表明，经静脉途径可能用于介入治疗难治性心绞痛和二尖瓣反流。此外，由于缺血性心脏病导致左心室功能障碍的患者，冠状静脉系统已被用作递送干细胞的途径。我们回顾了在结构性和缺血性心脏病的介入治疗中，联合应用冠状静脉途径与最近治疗进展的潜在价值。我们还将讨论与冠状静脉置管相关的技术。
