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双支血管慢性完全闭塞。完全经皮血管再通。

Two-vessel chronic total occlusion. Complete percutaneous revascularisation.

作者信息

Dębski Artur, Tyczyński Paweł, Opolski Maksymilian P, Kłopotowski Mariusz, Karcz Maciej A, Witkowski Adam

机构信息

Department of Interventional Cardiology and Angiology, Institute of Cardiology, Warsaw, Poland.

出版信息

Postepy Kardiol Interwencyjnej. 2014;10(4):320-2. doi: 10.5114/pwki.2014.46779. Epub 2014 Nov 17.

DOI:10.5114/pwki.2014.46779
PMID:25489332
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4252335/
Abstract

Little is known about the success rate of second attempts to open chronic total occlusions. Two-vessel occlusion makes the procedure is even more challenging. Thus, embarking on complete percutaneous revascularization of such lesions requires adequate experience, especially after first unsuccessful attempt. We present a case of a 52-year-old male patient in whom successful percutaneous opening of two chronic coronary at staged procedure was performed.

摘要

关于再次尝试开通慢性完全闭塞病变的成功率，目前所知甚少。双支血管闭塞使该手术更具挑战性。因此，着手对这类病变进行完全经皮血管重建需要足够的经验，尤其是在首次尝试失败之后。我们报告一例52岁男性患者，分阶段成功地对两支慢性冠状动脉进行了经皮开通。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f43/4252335/1bf19ea5e0c5/PWKI-10-23972-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f43/4252335/1bf19ea5e0c5/PWKI-10-23972-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f43/4252335/1bf19ea5e0c5/PWKI-10-23972-g001.jpg

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EuroIntervention. 2014 Feb;9(10):1173-80. doi: 10.4244/EIJV9I10A198.
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Percutaneous coronary intervention for multiple chronic total occlusions.经皮冠状动脉介入治疗多发慢性完全闭塞病变。
Am J Cardiol. 2013 Dec 15;112(12):1849-53. doi: 10.1016/j.amjcard.2013.08.012. Epub 2013 Sep 21.
3
Prevalence, predictors and clinical impact of unique and multiple chronic total occlusion in non-infarct-related artery in patients presenting with ST-elevation myocardial infarction.
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Heart. 2012 Dec;98(23):1732-7. doi: 10.1136/heartjnl-2012-302376. Epub 2012 Sep 26.
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EuroIntervention. 2011 Aug;7(4):472-9. doi: 10.4244/EIJV7I4A77.
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