经皮冠状动脉介入治疗慢性完全闭塞时心外膜侧支循环逆行的时间趋势。
Temporal Trends in Retrograde Crossing of Epicardial Collaterals in Chronic Total Occlusion Percutaneous Coronary Intervention.
机构信息
Edith and Benson Ford Heart and Vascular Institute, Henry Ford Hospital & Health System, 2799 W. Grand Blvd Detroit, MI 48202 USA.
出版信息
J Invasive Cardiol. 2022 Apr;34(4):E294-E295. doi: 10.25270/jic/21.00434. Epub 2022 Mar 18.
BACKGROUND
The use of retrograde crossings in chronic total occlusion (CTO) percutaneous coronary intervention (PCI) provides higher technical success rates in CTO-PCI. However, the use of epicardial collaterals carries a higher complication risk.
METHODS AND RESULTS
In this study, we aimed to investigate the temporal trends in retrograde crossing of epicardial collaterals, introduction of new guidewires, in-hospital major adverse cardiovascular events (MACE), and technical success rates in a large, multinational registry. We demonstrate that technical success rates increased substantially from about 5%-10% to 76% in the past decade without a concomitant increase in MACE rate (~3% to 4%), likely associated with increased operator experience and introduction of new guidewires. In addition, we show that while high-volume centers have higher technical success, they also have higher perforation rates.
背景
逆行导丝技术在慢性完全闭塞（CTO）经皮冠状动脉介入治疗（PCI）中可提高 CTO-PCI 的技术成功率。然而，使用心外膜侧支血管会增加并发症风险。
方法和结果
在这项研究中，我们旨在调查心外膜侧支逆行导丝技术、新型导丝的应用、住院期间主要不良心血管事件（MACE）和大型跨国注册中心的技术成功率的时间趋势。我们发现，过去十年间，技术成功率从约 5%-10%大幅提高至 76%，而 MACE 发生率（约 3%至 4%）没有相应增加，这可能与术者经验的增加和新型导丝的应用有关。此外，我们还发现，高容量中心的技术成功率虽然较高，但穿孔率也较高。
Zotero 插件