Dash Debabrata
Department of Cardiology, Aster Hospital, Dubai, UAE.
Korean Circ J. 2020 Oct;50(10):867-879. doi: 10.4070/kcj.2020.0156. Epub 2020 Jul 10.
Coronary chronic total occlusion (CTO) remains one of the most challenging subsets for percutaneous coronary intervention (PCI). The retrograde recanalization is one of the most significant amendments of the technique that remains critical to improved success of CTO PCI. Currently the reverse controlled antegrade and retrograde tracking (CART) is the most dominant retrograde technique. With emergence of new equipment and important iterations, this approach has become safer, faster and more successful. In this review, the author proposes the iteration and standardization of this technique which would further facilitates its adoption with more efficacy and safety.
冠状动脉慢性完全闭塞(CTO)仍然是经皮冠状动脉介入治疗(PCI)中最具挑战性的亚组之一。逆向再通是该技术最重要的改进之一,对于提高CTO PCI的成功率仍然至关重要。目前,逆向控制性顺行和逆向内膜下寻径(CART)是最主要的逆向技术。随着新设备的出现和重要改进,这种方法变得更安全、更快且更成功。在这篇综述中,作者提出了该技术的改进和标准化,这将进一步促进其更有效、更安全地应用。