逆向冠状动脉慢性完全闭塞病变介入治疗
Retrograde Coronary Chronic Total Occlusion Intervention.
作者信息
Dash Debabrata
机构信息
S. L Raheja (A Fortis Associate) Hospital Raheja Rugnalaya Marg Mahim (West), Mumbai, 400016 India.
出版信息
Curr Cardiol Rev. 2015 Nov 6;11(4):291-298. doi: 10.2174/1573403X11666150909110300.
Abstract
Coronary chronic total occlusion (CTO) is a frequent finding in patients with coronary artery disease. It remains one of the most challenging subsets, accounting for 10-20% of all percutaneous coronary interventions (PCI). Although remarkable progress in PCI has been made, it is reasonable to state that successful recanalization of CTO represents the “last frontier" of PCI. PCI of CTOs has been limited historically by technical success rates of 50-70%. The introduction of enhanced guidewires, microcatheter, channel dilatator with increasing operator experience, and innovative techniques such as the retrograde approach have raised hopes for better outcomes. This article goes into depth into various strategies of retrograde approach in CTO.
摘要
冠状动脉慢性完全闭塞（CTO）在冠心病患者中很常见。它仍然是最具挑战性的亚组之一，占所有经皮冠状动脉介入治疗（PCI）的10%-20%。尽管PCI已取得显著进展，但可以合理地说，CTO的成功再通代表了PCI的“最后前沿”。历史上，CTO的PCI技术成功率为50%-70%，受到一定限制。随着增强导丝、微导管、通道扩张器的引入以及术者经验的增加，还有诸如逆向技术等创新技术的出现，人们对获得更好的治疗效果充满了希望。本文深入探讨了CTO逆向技术的各种策略。
相似文献
1
Retrograde Coronary Chronic Total Occlusion Intervention.
Curr Cardiol Rev. 2015 Nov 6;11(4):291-298. doi: 10.2174/1573403X11666150909110300.
2
The predictors of successful percutaneous coronary intervention in ostial left anterior descending artery chronic total occlusion.
Catheter Cardiovasc Interv. 2014 Oct 1;84(4):E30-7. doi: 10.1002/ccd.25514. Epub 2014 May 13.
3
Retrograde techniques and the impact of operator volume on percutaneous intervention for coronary chronic total occlusions an early U.S. experience.
JACC Cardiovasc Interv. 2009 Sep;2(9):834-42. doi: 10.1016/j.jcin.2009.05.022.
4
Independent predictors of retrograde failure in CTO-PCI after successful collateral channel crossing.
Catheter Cardiovasc Interv. 2017 Jul;90(1):E11-E18. doi: 10.1002/ccd.26785. Epub 2016 Sep 21.
5
Outcomes of Percutaneous Coronary Interventions for Chronic Total Occlusion Performed by Highly Experienced Japanese Specialists: The First Report From the Japanese CTO-PCI Expert Registry.
JACC Cardiovasc Interv. 2017 Nov 13;10(21):2144-2154. doi: 10.1016/j.jcin.2017.06.024. Epub 2017 Oct 18.
6
Retrograde crossing for chronic total occlusion lesions: the Japanese way.
Indian Heart J. 2008 Nov-Dec;60(6):514-8.
7
Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention Through Ipsilateral Collateral Channels: A Multicenter Registry.
JACC Cardiovasc Interv. 2017 Aug 14;10(15):1489-1497. doi: 10.1016/j.jcin.2017.06.002.
8
Retrograde Coronary Chronic Total Occlusion Intervention Using a Novel Reverse Controlled Antegrade and Retrograde Subintimal Tracking.
J Interv Cardiol. 2016 Feb;29(1):70-4. doi: 10.1111/joic.12268. Epub 2016 Jan 5.
9
Comparison of percutaneous coronary intervention for chronic total occlusion outcome according to operator experience from the Japanese retrograde summit registry.
Catheter Cardiovasc Interv. 2016 May;87(6):1027-35. doi: 10.1002/ccd.26354. Epub 2015 Dec 31.
10
Development and Validation of a Novel Scoring System for Predicting Technical Success of Chronic Total Occlusion Percutaneous Coronary Interventions: The PROGRESS CTO (Prospective Global Registry for the Study of Chronic Total Occlusion Intervention) Score.
JACC Cardiovasc Interv. 2016 Jan 11;9(1):1-9. doi: 10.1016/j.jcin.2015.09.022.
引用本文的文献
1
Antegrade Wire Tracking of the Retrograde Tract (ATRT): A Novel Technique for Percutaneous Coronary Intervention for Chronic Total Occlusion.
Cureus. 2024 Jul 22;16(7):e65148. doi: 10.7759/cureus.65148. eCollection 2024 Jul.
2
The active pulling technique to solve microcatheter-uncrossable lesions in retrograde chronic total occlusion percutaneous coronary intervention.
Int J Cardiovasc Imaging. 2024 May;40(5):1019-1027. doi: 10.1007/s10554-024-03068-0. Epub 2024 Feb 26.
3
A Chinese scoring system for predicting successful retrograde collateral traverse in patients with chronic total coronary occlusion.
BMC Cardiovasc Disord. 2023 Jul 29;23(1):380. doi: 10.1186/s12872-023-03405-6.
4
Retrograde endovascular revascularization for chronic total occlusion of the internal carotid artery: a case report.
Acta Neurochir (Wien). 2022 Apr;164(4):1015-1019. doi: 10.1007/s00701-021-04875-3. Epub 2021 May 20.
5
Iteration of Reverse Controlled Antegrade and Retrograde Tracking for Coronary Chronic Total Occlusion Intervention: a Current Appraisal.
Korean Circ J. 2020 Oct;50(10):867-879. doi: 10.4070/kcj.2020.0156. Epub 2020 Jul 10.
6
A step-by-step guide to mastering retrograde coronary chronic total occlusion intervention in 2018: The author's perspective.
Indian Heart J. 2018 Dec;70 Suppl 3(Suppl 3):S446-S455. doi: 10.1016/j.ihj.2018.08.011. Epub 2018 Aug 18.
7
Coronary chronic total occlusion intervention: A pathophysiological perspective.
Indian Heart J. 2018 Jul-Aug;70(4):548-555. doi: 10.1016/j.ihj.2018.01.021. Epub 2018 Jan 10.
8
Complications encountered in coronary chronic total occlusion intervention: Prevention and bailout.
Indian Heart J. 2016 Sep-Oct;68(5):737-746. doi: 10.1016/j.ihj.2016.03.009. Epub 2016 Mar 19.
9
Guidewire crossing techniques in coronary chronic total occlusion intervention: A to Z.
Indian Heart J. 2016 May-Jun;68(3):410-20. doi: 10.1016/j.ihj.2016.02.019. Epub 2016 Mar 14.
本文引用的文献
1
The Final Steps of the Retrograde Technique: Wire Externalization, Stenting, and Wire Removal.
Interv Cardiol Clin. 2012 Jul;1(3):345-348. doi: 10.1016/j.iccl.2012.04.007. Epub 2012 Jun 26.
2
Current status of percutaneous coronary intervention of chronic total occlusion.
J Zhejiang Univ Sci B. 2012 Aug;13(8):589-602. doi: 10.1631/jzus.B1201009.
3
The retrograde technique for recanalization of chronic total occlusions: a step-by-step approach.
JACC Cardiovasc Interv. 2012 Jan;5(1):1-11. doi: 10.1016/j.jcin.2011.10.011.
4
In-hospital outcomes of percutaneous coronary intervention in patients with chronic total occlusion: insights from the ERCTO (European Registry of Chronic Total Occlusion) registry.
EuroIntervention. 2011 Aug;7(4):472-9. doi: 10.4244/EIJV7I4A77.
5
6
Dilation of the septal collateral artery and subsequent cardiac tamponade during retrograde percutaneous coronary intervention using a microcatheter for chronic total occlusion.
J Interv Cardiol. 2011 Feb;24(1):73-6. doi: 10.1111/j.1540-8183.2010.00604.x. Epub 2010 Oct 25.
7
8
The first clinical experience with a novel catheter for collateral channel tracking in retrograde approach for chronic coronary total occlusions.
JACC Cardiovasc Interv. 2010 Feb;3(2):165-71. doi: 10.1016/j.jcin.2009.10.026.
9
A novel modification of the retrograde approach for the recanalization of chronic total occlusion of the coronary arteries intravascular ultrasound-guided reverse controlled antegrade and retrograde tracking.
JACC Cardiovasc Interv. 2010 Feb;3(2):155-64. doi: 10.1016/j.jcin.2009.10.030.
10
Retrograde recanalization of a chronic ostial occlusion of the left anterior descending artery: how to manage extreme takeoff angles.
J Invasive Cardiol. 2010 Jan;22(1):E7-12.
Zotero 插件