Marechal Patrick, Gach Olivier, Davin Laurent, Martinez Christophe, Lempereur Mathieu, Magnee Marc, Lancellotti Patrizio
Service de cardiologie, CHU de Liège Sart Tilman, 4000 Liège, Belgique.
Service de cardiologie, CHR Verviers, 4800 Verviers, Belgique.
Rev Med Suisse. 2017 Aug 23;13(571):1406-1409.
Despite an incidence of about 15% of the patients undergoing coronary angiography, total chronic occlusions (CTO) are rarely revascularized by percutaneous angioplasty (PCI). Nevertheless, current evidence suggest that successful CTO-PCI improve symptoms, quality of live and long-term survival. During the last years, improvement of specific techniques for these complexes procedures and increasing experience of operators allow actually to obtain success and complications rates almost equivalent to non-CTO lesions angioplasty. This review focus on the clinical benefits of CTO revascularization and on appropriate patient selection.
尽管在接受冠状动脉造影的患者中，完全慢性闭塞（CTO）的发生率约为15%，但经皮血管成形术（PCI）很少能使CTO血管再通。然而，目前的证据表明，成功的CTO-PCI可改善症状、生活质量和长期生存率。在过去几年中，这些复杂手术的特定技术得到改进，操作者经验增加，实际上已能使成功率和并发症发生率几乎与非CTO病变血管成形术相当。本综述重点关注CTO血管再通的临床益处以及合适的患者选择。
