Voll F, Kuna C, Kufner S, Cassese S
Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technische Universität München, Lazarettstraße 36, München, Deutschland.
Herz. 2021 Oct;46(5):406-418. doi: 10.1007/s00059-021-05053-y. Epub 2021 Aug 16.
Percutaneous revascularization of chronic total occlusion (CTO) of coronary vessels represents a major challenge for contemporary interventional cardiologists. In the last decade there has been an unprecedented effort towards the standardization of revascularization procedures for CTO of coronary vessels. This endeavour has been possible by virtue of the growing interest of various cardiological societies for this patient group. Along with supportive endovascular technologies and percutaneous devices specifically dedicated to this interventional target, the increasing experience of interventionalists enabled continuously growing success for revascularization of CTO of coronary vessels. This review article highlights the currently available tools as well as technologies, techniques and strategies for the percutaneous recanalization of CTO of coronary vessels.
冠状动脉慢性完全闭塞(CTO)的经皮血管重建术是当代介入心脏病学家面临的一项重大挑战。在过去十年中,人们为实现冠状动脉CTO血管重建术的标准化付出了前所未有的努力。由于各心脏病学会对这一患者群体的兴趣日益浓厚,这项努力得以实现。随着支持性血管内技术和专门针对这一介入靶点的经皮器械的出现,介入专家经验的不断增加使得冠状动脉CTO血管重建术的成功率持续提高。这篇综述文章重点介绍了目前可用于冠状动脉CTO经皮再通的工具、技术及策略。