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本文引用的文献

1
Target Vessel Revascularization and Territory of Myocardial Ischemia in Patients With Chronic Total Occlusions.慢性完全闭塞患者的靶血管血运重建与心肌缺血区域
J Am Coll Cardiol. 2017 Aug 29;70(9):1196-1197. doi: 10.1016/j.jacc.2017.07.713.
2
Early Procedural and Health Status Outcomes After Chronic Total Occlusion Angioplasty: A Report From the OPEN-CTO Registry (Outcomes, Patient Health Status, and Efficiency in Chronic Total Occlusion Hybrid Procedures).慢性完全闭塞血管成形术后的早期程序和健康状况结果：来自 OPEN-CTO 登记处（慢性完全闭塞杂交手术的结果、患者健康状况和效率）的报告。
JACC Cardiovasc Interv. 2017 Aug 14;10(15):1523-1534. doi: 10.1016/j.jcin.2017.05.065.
3
Contemporary Incidence, Management, and Long-Term Outcomes of Percutaneous Coronary Interventions for Chronic Coronary Artery Total Occlusions: Insights From the VA CART Program.慢性冠状动脉完全闭塞经皮冠状动脉介入治疗的当代发生率、处理方法和长期结局：来自 VA CART 项目的见解。
JACC Cardiovasc Interv. 2017 May 8;10(9):866-875. doi: 10.1016/j.jcin.2017.02.044.
4
The Hybrid Algorithm for Treating Chronic Total Occlusions in Europe: The RECHARGE Registry.《欧洲治疗慢性全闭塞病变的杂交算法：RECHARGE 登记研究》
J Am Coll Cardiol. 2016 Nov 1;68(18):1958-1970. doi: 10.1016/j.jacc.2016.08.034.
5
Guidewire and microcatheter utilization patterns during antegrade wire escalation in chronic total occlusion percutaneous coronary intervention: Insights from a contemporary multicenter registry.慢性完全闭塞性经皮冠状动脉介入治疗中导丝升级过程中的导丝和微导管使用模式：来自当代多中心注册研究的见解
Catheter Cardiovasc Interv. 2017 Mar 1;89(4):E90-E98. doi: 10.1002/ccd.26568. Epub 2016 May 17.
6
CMR Guidance for Recanalization of Coronary Chronic Total Occlusion.CMR 指导下冠状动脉慢性完全闭塞再通
JACC Cardiovasc Imaging. 2016 May;9(5):547-56. doi: 10.1016/j.jcmg.2015.10.025. Epub 2016 Apr 13.
7
Application and outcomes of a hybrid approach to chronic total occlusion percutaneous coronary intervention in a contemporary multicenter US registry.美国当代多中心注册研究中慢性完全闭塞性经皮冠状动脉介入治疗混合方法的应用及结果
Int J Cardiol. 2015 Nov 1;198:222-8. doi: 10.1016/j.ijcard.2015.06.093. Epub 2015 Jun 27.
8
Predictors of Interventional Success of Antegrade PCI for CTO.CTO 正向经皮冠状动脉介入治疗的介入成功预测因素。
JACC Cardiovasc Imaging. 2015 Jul;8(7):804-13. doi: 10.1016/j.jcmg.2015.04.008. Epub 2015 Jun 17.
9
Safety and Effectiveness of Everolimus-Eluting Stents in Chronic Total Coronary Occlusion Revascularization: Results From the EXPERT CTO Multicenter Trial (Evaluation of the XIENCE Coronary Stent, Performance, and Technique in Chronic Total Occlusions).依维莫司洗脱支架在慢性完全闭塞血运重建中的安全性和有效性：来自 EXPERT CTO 多中心试验（依维莫司药物洗脱冠状动脉支架在慢性完全闭塞病变中的应用、表现和技术评估）的结果。
JACC Cardiovasc Interv. 2015 May;8(6):761-769. doi: 10.1016/j.jcin.2014.12.238. Epub 2015 Apr 22.
10
Chronic total occlusion: To treat or not to treat.慢性完全闭塞病变：治疗还是不治疗。
World J Cardiol. 2014 Jul 26;6(7):621-9. doi: 10.4330/wjc.v6.i7.621.

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.

DOI:10.14797/mdcj-14-1-50
PMID:29623172
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5880561/
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。