Núņez Jean C, Diego-Nieto Alejandro, Barreiro-Pérez Manuel, Cruz-González Ignacio, Martín-Moreiras Javier
Paseo San Vicente 182, 37007, Cardiology Department, Hospital Universitario de Salamanca, Salamanca, Spain.
J Invasive Cardiol. 2022 Mar;34(3):E255-E256. doi: 10.25270/jic/21.00385.
A 56-year-old male presented with angina pectoris despite optimal medical treatment. A coronary computed tomography angiography revealed a chronic total occlusion of the proximal right coronary artery with a moderately calcified long path, and a chronic total occlusion of the distal circumflex. In selected cases with long occlusions and the need for a hybrid approach, the use of computed tomography angiography fusion could help to identify the right wire position, prevent perforations, reduce the use of contrast and fluoroscopy time, improve patient safety, and increase success rate.
一名56岁男性尽管接受了最佳药物治疗仍出现心绞痛。冠状动脉计算机断层扫描血管造影显示右冠状动脉近端慢性完全闭塞，伴有一段中度钙化的长病变，以及回旋支远端慢性完全闭塞。在某些存在长段闭塞且需要采用杂交手术的病例中，使用计算机断层扫描血管造影融合技术有助于确定导丝的正确位置，防止穿孔，减少造影剂用量和透视时间，提高患者安全性，并提高成功率。
