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手术规划:策略的解剖学决定因素

Procedure planning: anatomical determinants of strategy.

作者信息

Hanratty Colm, Walsh Simon

机构信息

Department of Cardiology, Belfast Health and Social Care Trust, Lisburn Road, Belfast. N Ireland. BT9 7AB, Ireland.

出版信息

Curr Cardiol Rev. 2014 May;10(2):108-19. doi: 10.2174/1573403x10666140331142805.

DOI:10.2174/1573403x10666140331142805
PMID:24694102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4021281/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/090aeb6f6f6b/CCR-10-108_F12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/9df0dc4bc99e/CCR-10-108_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/2692034fae2a/CCR-10-108_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/4ef9e9bb41ef/CCR-10-108_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/004e2affc696/CCR-10-108_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/fa80910b4771/CCR-10-108_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/985e13cfb27e/CCR-10-108_F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/6fe7203fbb7a/CCR-10-108_F7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/8de4d40fafe1/CCR-10-108_F8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/5c0685913c7c/CCR-10-108_F9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/cc152ed80e84/CCR-10-108_F10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/dfea027e90e0/CCR-10-108_F11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/090aeb6f6f6b/CCR-10-108_F12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/9df0dc4bc99e/CCR-10-108_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/2692034fae2a/CCR-10-108_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/4ef9e9bb41ef/CCR-10-108_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/004e2affc696/CCR-10-108_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/fa80910b4771/CCR-10-108_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/985e13cfb27e/CCR-10-108_F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/6fe7203fbb7a/CCR-10-108_F7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/8de4d40fafe1/CCR-10-108_F8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/5c0685913c7c/CCR-10-108_F9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/cc152ed80e84/CCR-10-108_F10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/dfea027e90e0/CCR-10-108_F11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1c/4021281/090aeb6f6f6b/CCR-10-108_F12.jpg

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Japanese multicenter registry evaluating the retrograde approach for chronic coronary total occlusion.日本多中心注册研究评估慢性冠状动脉完全闭塞的逆行入路。
Catheter Cardiovasc Interv. 2013 Nov 1;82(5):E654-61. doi: 10.1002/ccd.24823. Epub 2013 Jul 30.
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慢性冠状动脉完全闭塞病变的再通:欧洲慢性完全闭塞病变俱乐部2012年共识文件
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