Thompson Craig A
Cardiovascular Catheterization and Intervention, Yale New Haven Hospital, Yale University School of Medicine, 789 Howard Avenue, Dana 305, New Haven, CT 06517, USA.
Interv Cardiol Clin. 2012 Jul;1(3):349-353. doi: 10.1016/j.iccl.2012.04.009. Epub 2012 Jun 26.
Percutaneous recanalization of coronary chronic total occlusions (CTOs) has been limited by inability to consistently achieve wire position in the distal true lumen across the CTO segment, preventing many patients from having percutaneous coronary intervention (PCI). Furthermore, low success rates, prolonged case times, and wide variability in approaches has resulted in lower adoption of CTO PCI as a routine procedure and has limited educational initiatives. The hybrid approach for CTO PCI is predicated on an algorithm that allows trained operators to react to angiograms and craft strategies in a similar manner, enabling technical success and efficiency.
冠状动脉慢性完全闭塞（CTO）的经皮再通一直受到限制，原因是无法始终将导丝置于穿过CTO节段的远端真腔内，这使得许多患者无法接受经皮冠状动脉介入治疗（PCI）。此外，成功率低、手术时间长以及方法差异大，导致CTO PCI作为常规手术的采用率较低，并限制了相关教育举措。CTO PCI的混合方法基于一种算法，该算法使训练有素的操作人员能够以类似方式对血管造影做出反应并制定策略，从而实现技术成功和提高效率。
