Cilia Lindsey, Megaly Michael, Davies Rhian, Tehrani Behnam N, Batchelor Wayne B, Truesdell Alexander G
Virginia Heart, Falls Church, VA, United States.
Inova Schar Heart and Vascular Institute, Falls Church, VA, United States.
Front Cardiovasc Med. 2024 Feb 6;11:1350549. doi: 10.3389/fcvm.2024.1350549. eCollection 2024.
Coronary chronic total occlusions (CTO) are present in up to one-third of patients with coronary artery disease (CAD). It is thus essential for all clinical cardiologists to possess a basic awareness and understanding of CTOs, including optimal evaluation and management. While percutaneous coronary intervention (PCI) for CTO lesions has many similarities to non-CTO PCI, there are important considerations pertaining to pre-procedural evaluation, interventional techniques, procedural complications, and post-procedure management and follow-up unique to patients undergoing this highly specialized intervention. Distinct from other existing topical reviews, the current manuscript focuses on key knowledge relevant to non-interventional cardiologists.
冠状动脉慢性完全闭塞（CTO）在高达三分之一的冠状动脉疾病（CAD）患者中存在。因此，所有临床心脏病专家都必须对CTO有基本的认识和理解，包括最佳评估和管理。虽然CTO病变的经皮冠状动脉介入治疗（PCI）与非CTO PCI有许多相似之处，但对于接受这种高度专业化干预的患者，在术前评估、介入技术、手术并发症以及术后管理和随访方面存在一些重要的考虑因素。与其他现有的专题综述不同，本手稿重点关注与非介入心脏病专家相关的关键知识。
