Brilakis Emmanouil S, Karmpaliotis Dimitri, Vo Minh N, Carlino Mauro, Galassi Alfredo R, Boukhris Marouane, Alaswad Khaldoon, Bryniarski Leszek, Lombardi William L, Banerjee Subhash
Department of Cardiovascular Diseases, VA North Texas Healthcare System, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA.
Department of Cardiovascular Diseases, NYP Columbia University, New York, NY, USA.
Interv Cardiol Clin. 2016 Apr;5(2):177-186. doi: 10.1016/j.iccl.2015.12.012. Epub 2016 Feb 13.
Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has significantly evolved during recent years. High success rates are being achieved by experienced centers and operators, but not at less-experienced centers. Use of CTO crossing algorithms can help improve the success and efficiency of these potentially lengthy procedures. There is a paucity of clinical trial data examining clinical outcomes of CTO PCI, which is critical for further adoption and refinement of the procedure. We provide a detailed overview of the clinical evidence and current available crossing strategies, with emphasis on recent developments and techniques.
近年来，慢性完全闭塞（CTO）经皮冠状动脉介入治疗（PCI）有了显著进展。经验丰富的中心和操作人员能够取得较高的成功率，但经验较少的中心则不然。使用CTO穿刺算法有助于提高这些可能耗时较长的手术的成功率和效率。目前缺乏关于CTO PCI临床结果的临床试验数据，而这些数据对于该手术的进一步推广和完善至关重要。我们详细概述了临床证据和当前可用的穿刺策略，重点介绍了最新进展和技术。
