Allana Salman S, Gondi Keerthi, Goyal Amit, Vallabhajosyula Saraschandra
UT Southwestern Medical Center, Dallas, TX, United States of America.
UT Southwestern Medical Center, Dallas, TX, United States of America.
Prog Cardiovasc Dis. 2025 Jan-Feb;88:28-38. doi: 10.1016/j.pcad.2024.12.002. Epub 2024 Dec 30.
The retrograde approach to chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has significantly contributed to the success rates of CTO PCI. It is usually performed in complex CTO lesions, in which the antegrade approach is not feasible or fails. In this article we discuss the steps to perform retrograde CTO PCI and its complications and success rates. Considering the moderate to high success rates of the retrograde approach in the hands of experienced operators and higher complication rates than antegrade only procedures, optimizing the safety of retrograde CTO PCI is of paramount importance.
慢性完全闭塞（CTO）经皮冠状动脉介入治疗（PCI）的逆行技术显著提高了CTO-PCI的成功率。它通常用于复杂的CTO病变，在这些病变中，顺行技术不可行或失败。在本文中，我们讨论了进行逆行CTO-PCI的步骤、其并发症及成功率。鉴于经验丰富的术者采用逆行技术有中度至高度的成功率，且并发症发生率高于单纯顺行手术，优化逆行CTO-PCI的安全性至关重要。
