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血管内超声引导下的指关节技术用于支架内再狭窄闭塞治疗。

Knuckle technique guided by intravascular ultrasound for in-stent restenosis occlusion treatment.

作者信息

Tasic Mladen, Sreckovic Miodrag J, Jagic Nikola, Miloradovic Vladimir, Nikolic Dusan

机构信息

Clinical Centre Kragujevac, Kragujevac, Serbia.

出版信息

Postepy Kardiol Interwencyjnej. 2015;11(1):58-61. doi: 10.5114/pwki.2015.49188. Epub 2015 Mar 6.

DOI:10.5114/pwki.2015.49188
PMID:25848374
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4372635/
Abstract

One of the rarest lesions is in-stent restenosis chronic total occlusion (CTO). Limited data suggest that the treatment success rate is dependent on the possibility to cross into the lumen of an occluded stent, and the decision about what technique to use varies by operator preference. The knuckle technique is used to create a deliberate dissection plane in various CTO techniques. A guide wire is pushed until a complex loop is formed and advanced through the lesion. In this report we present a case where a knuckle wire guided by intravascular ultrasound control is used to penetrate the distal cap in an in-stent restenosis CTO lesion.

摘要

最罕见的病变之一是支架内再狭窄慢性完全闭塞（CTO）。有限的数据表明，治疗成功率取决于穿过闭塞支架管腔的可能性，而使用何种技术的决定因操作者的偏好而异。在各种CTO技术中，指节技术用于创建一个特意的解剖平面。将导丝推进直到形成一个复杂的环并穿过病变。在本报告中，我们展示了一例在血管内超声控制下使用指节导丝穿透支架内再狭窄CTO病变远端帽的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/96b113223438/PWKI-11-24636-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/57393d635b66/PWKI-11-24636-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/f212809bc320/PWKI-11-24636-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/03b24c02ac06/PWKI-11-24636-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/8eb08e08cf40/PWKI-11-24636-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/0d271a43ff70/PWKI-11-24636-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/bad8cd3ae676/PWKI-11-24636-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/cafd6acb2395/PWKI-11-24636-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/e9b52699d320/PWKI-11-24636-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/d4caa1c0819c/PWKI-11-24636-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/96b113223438/PWKI-11-24636-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/57393d635b66/PWKI-11-24636-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/f212809bc320/PWKI-11-24636-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/03b24c02ac06/PWKI-11-24636-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/8eb08e08cf40/PWKI-11-24636-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/0d271a43ff70/PWKI-11-24636-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/bad8cd3ae676/PWKI-11-24636-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/cafd6acb2395/PWKI-11-24636-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/e9b52699d320/PWKI-11-24636-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/d4caa1c0819c/PWKI-11-24636-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63a3/4372635/96b113223438/PWKI-11-24636-g010.jpg

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