• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

复杂的夹层慢性闭塞病变：通过对假腔进行靶向球囊扩张以进入真腔，联合局部内膜下寻径及重回真腔技术、平行导丝技术、对侧注射技术以及一种有效的顺行性管腔重回真腔技术。

A complex dissected chronic occlusion: targeted balloon dilatation of false lumen to access true lumen, combined localized subintimal tracking and re-entry, parallel wire, contralateral injection and a useful antegrade lumen re-entry technique.

作者信息

Hussain Farrukh, Golian Mehrdad, Tam James W

机构信息

St. Boniface General Hospital, University of Manitoba, Canada.

出版信息

Heart Int. 2012 Feb 3;7(1):e7. doi: 10.4081/hi.2012.e7. Epub 2012 Mar 16.

DOI:10.4081/hi.2012.e7
PMID:22690300
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3366303/
Abstract

Chronic total occlusion (CTO) angioplasty is one of the most challenging procedures remaining for the interventional operator. Recanalizing CTOs can improve exercise capacity, symptoms, left ventricular function and possibly reduce mortality. Multiple strategies such as escalating wire, parallel wire, see-saw, contralateral injection, subintimal tracking and re-entry (STAR), retrograde wire techniques (controlled antegrade retrograde subintimal tracking, CART), reverse CART, confluent balloon, rendezvous in coronary, and other techniques have all been described. Selection of the most appropriate approach is based on assessment of vessel course, length of occluded segment, presence of bridging collaterals, presence of bifurcating side branches at the occlusion site, and other variables. Today, with significant operator expertise and the use of available techniques, the literature reports a 50-95% success rate for recanalizing CTOs.

摘要

慢性完全闭塞（CTO）血管成形术是介入手术医生面临的最具挑战性的手术之一。使CTO再通可改善运动能力、症状、左心室功能，并可能降低死亡率。已经描述了多种策略，如逐级升线、平行导丝、跷跷板技术、对侧注射、内膜下跟踪及再入（STAR）、逆行导丝技术（可控顺行逆行内膜下跟踪，CART）、反向CART、汇合球囊、冠状动脉内会师及其他技术。选择最合适的方法是基于对血管走行情况、闭塞段长度、桥接侧支的存在情况、闭塞部位分叉侧支的存在情况及其他变量的评估。如今，凭借丰富的手术医生专业技能和现有技术的使用，文献报道CTO再通成功率为50% - 95%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/c31b018b4acb/hi-2012-1-e7-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/df623c93afd7/hi-2012-1-e7-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/374069e29acd/hi-2012-1-e7-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/28381dfb501f/hi-2012-1-e7-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/837121258a54/hi-2012-1-e7-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/6f88239b6afa/hi-2012-1-e7-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/eded78d3d33a/hi-2012-1-e7-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/44731567ccc1/hi-2012-1-e7-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/f5c8bb39a609/hi-2012-1-e7-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/c31b018b4acb/hi-2012-1-e7-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/df623c93afd7/hi-2012-1-e7-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/374069e29acd/hi-2012-1-e7-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/28381dfb501f/hi-2012-1-e7-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/837121258a54/hi-2012-1-e7-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/6f88239b6afa/hi-2012-1-e7-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/eded78d3d33a/hi-2012-1-e7-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/44731567ccc1/hi-2012-1-e7-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/f5c8bb39a609/hi-2012-1-e7-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a25/3366303/c31b018b4acb/hi-2012-1-e7-g009.jpg

相似文献

1
A complex dissected chronic occlusion: targeted balloon dilatation of false lumen to access true lumen, combined localized subintimal tracking and re-entry, parallel wire, contralateral injection and a useful antegrade lumen re-entry technique.复杂的夹层慢性闭塞病变：通过对假腔进行靶向球囊扩张以进入真腔，联合局部内膜下寻径及重回真腔技术、平行导丝技术、对侧注射技术以及一种有效的顺行性管腔重回真腔技术。
Heart Int. 2012 Feb 3;7(1):e7. doi: 10.4081/hi.2012.e7. Epub 2012 Mar 16.
2
A new combined antegrade and retrograde approach for chronic total occlusion recanalization: Facilitated antegrade fenestration and re-entry.一种新的正向和逆向联合方法用于慢性完全闭塞再通：辅助正向开窗和再进入。
Catheter Cardiovasc Interv. 2021 Jul 1;98(1):E85-E90. doi: 10.1002/ccd.29539. Epub 2021 Feb 8.
3
Dislodged stent after stent reverse controlled antegrade and retrograde subintimal tracking (CART) - Is stent reverse CART a necessary tool or an unnecessary evil?支架逆向控制顺行和逆行内膜下寻径术（CART）后支架移位——支架逆向CART是必要工具还是不必要的麻烦？
J Cardiol Cases. 2017 Sep 19;16(6):205-209. doi: 10.1016/j.jccase.2017.08.005. eCollection 2017 Dec.
4
Multicentre experience with the BridgePoint devices to facilitate recanalisation of chronic total coronary occlusions through controlled subintimal re-entry.多中心应用 BridgePoint 装置通过控制性内膜下再进入开通慢性完全闭塞病变的经验。
EuroIntervention. 2011 Jun;7(2):192-200. doi: 10.4244/EIJV7I2A33.
5
Overview and proposed terminology for the reverse controlled antegrade and retrograde tracking (reverse CART) techniques.反向顺行和逆行跟踪（reverse CART）技术概述及建议术语。
EuroIntervention. 2018 May 20;14(1):94-101. doi: 10.4244/EIJ-D-17-00867.
6
Initial experience with a dedicated coronary re-entry device for revascularization of chronic total occlusions.经皮冠状动脉腔内介入治疗慢性完全闭塞病变专用再进入器械的初步经验。
Catheter Cardiovasc Interv. 2012 Nov 1;80(5):807-13. doi: 10.1002/ccd.23417. Epub 2011 Dec 1.
7
A novel maneuver to facilitate retrograde wire externalization during retrograde chronic total occlusion percutaneous coronary intervention.一种在逆向慢性完全闭塞经皮冠状动脉介入治疗期间促进逆向导丝体外化的新手法。
Catheter Cardiovasc Interv. 2017 Jan;89(1):E7-E12. doi: 10.1002/ccd.26556. Epub 2016 Apr 28.
8
Antegrade fenestration and re-entry: The legacy continues.顺行开窗与重新进入：传统仍在延续。
Catheter Cardiovasc Interv. 2018 Sep 1;92(3):505-506. doi: 10.1002/ccd.27802.
9
The antegrade dissection and re-entry technique as preparation of intravascular ultrasound guided re-wiring.顺行解剖与重新进入技术用于血管内超声引导下重新布线的准备工作。
Cardiovasc Interv Ther. 2019 Oct;34(4):335-339. doi: 10.1007/s12928-019-00572-2. Epub 2019 Feb 26.
10
Controlled antegrade intimal tracking with subintimal balloon inflation as a novel bailout technique for chronic total occlusion after failed intravascular ultrasound-guided parallel wire technique.以内膜下球囊扩张进行可控的顺行内膜下寻径作为血管内超声引导下平行导丝技术失败后慢性完全闭塞病变的一种新型补救技术。
Cardiovasc Revasc Med. 2017 Oct-Nov;18(7):521-525. doi: 10.1016/j.carrev.2017.04.013. Epub 2017 Apr 24.

本文引用的文献

1
Mini-STAR as bail-out strategy for percutaneous coronary intervention of chronic total occlusion.经皮冠状动脉介入治疗慢性完全闭塞病变的迷你 STAR 作为挽救策略。
Catheter Cardiovasc Interv. 2012 Jan 1;79(1):30-40. doi: 10.1002/ccd.22998. Epub 2011 Sep 28.
2
Management of coronary chronic total occlusion.冠状动脉慢性完全闭塞病变的管理
Circulation. 2011 Apr 26;123(16):1780-4. doi: 10.1161/CIRCULATIONAHA.110.972802.
3
Use of the Stingray guidewire and the Venture catheter for crossing flush coronary chronic total occlusions due to in-stent restenosis.
使用 Stingray 导丝和 Venture 导管穿越因支架内再狭窄导致的 flush 冠状动脉慢性完全闭塞病变。
Catheter Cardiovasc Interv. 2010 Sep 1;76(3):391-4. doi: 10.1002/ccd.22480.
4
"Rendezvous in coronary" technique with the retrograde approach for chronic total occlusion.采用逆行入路的“冠状动脉会师”技术治疗慢性完全闭塞病变
J Invasive Cardiol. 2010 Sep;22(9):E179-82.
5
Use of the venture wire control catheter for subintimal coronary dissection and reentry in chronic total occlusions.
J Invasive Cardiol. 2010 Sep;22(9):445-8.
6
Antegrade, retrograde, and combination strategies for chronic total occlusions.正向、逆向和联合策略治疗慢性完全闭塞病变。
Curr Cardiol Rep. 2010 Sep;12(5):429-39. doi: 10.1007/s11886-010-0131-8.
7
Effectiveness of recanalization of chronic total occlusions: a systematic review and meta-analysis.慢性完全闭塞再通的有效性：系统评价和荟萃分析。
Am Heart J. 2010 Jul;160(1):179-87. doi: 10.1016/j.ahj.2010.04.015.
8
A novel technique of chronic total occlusion retrograde wire crossing by wiring into the antegrade microcatheter.经微导管正向穿线实现慢性完全闭塞逆向导丝跨越的新方法。
Catheter Cardiovasc Interv. 2010 Nov 15;76(6):847-9. doi: 10.1002/ccd.22543.
9
Use of the venture wire control catheter for the treatment of coronary artery chronic total occlusions.应用血管内超声导丝控制导管治疗冠状动脉慢性完全闭塞病变。
Catheter Cardiovasc Interv. 2010 Dec 1;76(7):936-41. doi: 10.1002/ccd.22559.
10
Contemporary principles of coronary chronic total occlusion recanalization.当代冠状动脉慢性完全闭塞再通的原则。
Catheter Cardiovasc Interv. 2010 Mar 1;75 Suppl 1:S21-7. doi: 10.1002/ccd.22382.