Koutouzis Michael, Kintis Konstantinos, Kontopodis Eleftherios, Nikitas Georgios, Lazaris Efstathios
Second Cardiology Department, Red Cross General Hospital, Athens, Greece.
Department of Cardiology, Konstantopoulio General Hospital, Athens, Greece.
Int J Angiol. 2019 Sep;28(3):207-209. doi: 10.1055/s-0038-1661375. Epub 2018 Jun 28.
Percutaneous coronary interventions (PCI) for chronic total occlusions (CTO) are the most challenging type of procedure in interventional cardiology and are traditionally associated with increased complexity and reduced procedural success rates. New techniques, such as retrograde approach and dissection reentry technique, offer alternatives in case of traditional antegrade wiring failure. In this paper, we present a successful implantation of a stent parallel to other existing stent in an in-stent CTO (IS-CTO) using dissection reentry technique. The technical details involved and the clues to successful outcome in an individual with in-stent CTO are discussed.
经皮冠状动脉介入治疗（PCI）慢性完全闭塞病变（CTO）是介入心脏病学中最具挑战性的手术类型，传统上与手术复杂性增加和手术成功率降低相关。新技术，如逆行途径和夹层再入技术，在传统顺行导丝失败的情况下提供了替代方案。在本文中，我们展示了使用夹层再入技术在支架内慢性完全闭塞病变（IS-CTO）中成功植入与其他现有支架平行的支架。讨论了所涉及的技术细节以及IS-CTO个体成功治疗的线索。
