慢性完全闭塞性冠状动脉介入治疗：探寻确切获益
Chronic Total Occlusion Coronary Intervention: In Search of a Definitive Benefit.
作者信息
Shah Alpesh
机构信息
HOUSTON METHODIST DEBAKEY HEART & VASCULAR CENTER, HOUSTON METHODIST HOSPITAL, HOUSTON, TEXAS.
出版信息
Methodist Debakey Cardiovasc J. 2018 Jan-Mar;14(1):50-59. doi: 10.14797/mdcj-14-1-50.
Abstract
Percutaneous coronary intervention (PCI) of chronic coronary total occlusion is the latest frontier in percutaneous intervention. There are vast improvements in the initial success and safety of the procedure as well as a better understanding of appropriateness and benefits. Advances in technology and skill allow for increased utilization of PCI in cases of chronic coronary total occlusion, with benefits regarding symptoms and quality of life. Percutaneous coronary intervention for chronic coronary total occlusion can correct ischemia and achieve complete revascularization while avoiding traditional coronary bypass grafting, although survival benefits remain unclear.
摘要
慢性冠状动脉完全闭塞的经皮冠状动脉介入治疗（PCI）是经皮介入治疗的最新前沿领域。该手术的初始成功率和安全性有了巨大提高，对其适用性和益处也有了更好的理解。技术和技能的进步使得PCI在慢性冠状动脉完全闭塞病例中的应用增加，在症状和生活质量方面带来益处。尽管生存获益尚不清楚，但慢性冠状动脉完全闭塞的经皮冠状动脉介入治疗可以纠正缺血并实现完全血运重建，同时避免传统冠状动脉旁路移植术。
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