Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, MN, USA.
Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Cardiovasc Revasc Med. 2023 Aug;53S:S298-S301. doi: 10.1016/j.carrev.2022.04.018. Epub 2022 May 3.
Despite significant progress, chronic total occlusion (CTO) percutaneous coronary interventions (PCI) are often challenging and carry increased risk of complications. We present a highly complex CTO PCI case that was successfully completed despite numerous complications (perforation, donor vessel closure, stent loss, guide extension tip fracture, access site bleeding and cardiac arrest) to highlight the importance of appropriate patient selection, pre-procedural planning, comprehensive patient-centered risk/benefit discussion, and prompt recognition and treatment of intra-procedural complications.
尽管取得了重大进展，但慢性完全闭塞（CTO）经皮冠状动脉介入治疗（PCI）往往具有挑战性，并伴有更高的并发症风险。我们报告了一例非常复杂的 CTO PCI 病例，尽管发生了许多并发症（穿孔、供血管闭塞、支架丢失、导引导管尖端断裂、穿刺部位出血和心脏骤停），但仍成功完成，这突出了适当的患者选择、术前规划、全面的以患者为中心的风险/获益讨论以及及时识别和处理术中并发症的重要性。
