Fernández-Díaz José A, Goicolea-Ruigómez Javier, García-Touchard Arturo, Oteo-Domínguez Juan F, Domínguez-Puente José R
Unidad de Hemodinámica. Hospital Universitario Puerta de Hierro. Majadahonda. Madrid. España.
Rev Esp Cardiol. 2010 Apr;63(4):483-7.
The safety and effectiveness of angioplasty for chronic total occlusions of the coronary arteries have been demonstrated in several studies, but the success rate is less than for conventional interventions. The complexity of the procedures presents a major challenge. In selected cases, performing angioplasty of the occlusion via a retrograde approach has been used as an alternative. We present the first published Spanish series, comprising 11 procedures in 9 patients, in which a retrograde approach was used to eliminate obstructions caused by chronic total coronary artery occlusions. The characteristics, outcomes and complications of the procedure were assessed.
多项研究已证实血管成形术治疗冠状动脉慢性完全闭塞的安全性和有效性，但成功率低于传统干预措施。手术的复杂性带来了重大挑战。在特定病例中，通过逆行途径进行闭塞病变的血管成形术已被用作一种替代方法。我们展示了首个发表的西班牙病例系列，包括9例患者的11次手术，其中采用逆行途径消除冠状动脉慢性完全闭塞所致的梗阻。对该手术的特点、结果及并发症进行了评估。
