Hanratty Colm, Walsh Simon
Department of Cardiology, Belfast Health and Social Care Trust, Lisburn Road, Belfast. N Ireland. BT9 7AB, Ireland.
Curr Cardiol Rev. 2014 May;10(2):108-19. doi: 10.2174/1573403x10666140331142805.
In contemporary practice there are three main methods that can be employed when attempting to open a chronic total occlusion (CTO) of a coronary artery; antegrade or retrograde wire escalation, antegrade dissection re-entry and retrograde dissection re-entry. This editorial will attempt to clarify the anatomical features that can be identified to help when deciding which of these strategies to employ initially and help understand the reasons for this decision.
在当代实践中,尝试开通冠状动脉慢性完全闭塞(CTO)时可采用三种主要方法:正向或逆向导丝递进、正向夹层再入和逆向夹层再入。本社论将试图阐明在决定最初采用这些策略中的哪一种时可识别的解剖特征,以提供帮助,并有助于理解做出此决定的原因。