Daniels David V, Banerjee Sudeshna, Alaswad Khaldoon, Doing Anthony H, Dattilo Philip B, Kalyanasundaram Arun, Spratt James C, Hanratty Colm G, Strange Julian W, Walsh Simon, Lombardi William L, Aaron Grantham J
Palo Alto Medical Foundation, Palo Alto, California.
Sacred Heart Medical Center, Eugene, Oregon.
Catheter Cardiovasc Interv. 2018 Feb 1;91(2):175-179. doi: 10.1002/ccd.26501. Epub 2017 Nov 29.
The aim of the Hybrid Video Registry (HVR) is to assess the acute safety and efficacy of the Hybrid Approach in comparison to other contemporary methods of CTO-PCI.
Recently, multiple techniques in Percutaneous Coronary Intervention (PCI) for coronary Chronic Total Occlusions (CTO) have been synthesized into a method referred to as the "Hybrid Approach".
About 194 video-taped timed live cases from CTO-PCI training workshops were analyzed by independent data abstractors and compared to three contemporary CTO-PCI registries stratified by case complexity based on the J-CTO score.
Overall procedural success was 95% of all cases attempted with an excellent safety profile. In the most complex lesion subset, which made up 45% of all HVR cases, success was 92.8%, which was significantly higher than either the Royal Bromptom (78.9%), or Japanese-CTO (73.3%) registries, P = 0.04 Hybrid vs. Royal Brompton, P = 0.006 Hybrid vs. Japanese-CTO). The Hybrid Approach was also associated with shorter procedure times and lower contrast utilization.
In a real world angiographic registry of complex CTOs, the Hybrid Approach to CTO-PCI is safe, and may be superior to other contemporary approaches to CTO intervention with respect to procedural success and efficiency among a diverse group of operators and lesion complexity. © 2017 Wiley Periodicals, Inc.
混合视频注册研究（HVR）的目的是评估与其他当代慢性完全闭塞病变经皮冠状动脉介入治疗（CTO-PCI）方法相比，混合方法的急性安全性和有效性。
最近，用于冠状动脉慢性完全闭塞病变（CTO）的经皮冠状动脉介入治疗（PCI）中的多种技术已被整合为一种称为“混合方法”的方法。
独立数据提取人员对来自CTO-PCI培训研讨会的约194例录像实时病例进行了分析，并与根据J-CTO评分按病例复杂性分层的三个当代CTO-PCI注册研究进行了比较。
总体手术成功率为所有尝试病例的95%，安全性良好。在构成所有HVR病例45%的最复杂病变亚组中，成功率为92.8%，显著高于皇家布朗普顿医院注册研究（78.9%）或日本CTO注册研究（73.3%）（混合方法与皇家布朗普顿医院注册研究相比，P = 0.04；混合方法与日本CTO注册研究相比，P = 0.006）。混合方法还与较短的手术时间和较低的造影剂用量相关。
在复杂CTO的真实世界血管造影注册研究中，CTO-PCI的混合方法是安全的，并且在不同的术者群体和病变复杂性方面，在手术成功率和效率方面可能优于其他当代CTO介入方法。© 2017威利期刊公司。
