Current evidence for prognostic benefit of intravascular imaging-guided percutaneous coronary intervention in chronic total occlusion intervention

被引：0

作者：

Hong, David ^{[1
]}

Kim, Sung Eun ^{[2
]}

Lee, Seung Hun ^{[3
]}

Lee, Seung-Jae ^{[4
]}

Lee, Jong-Young ^{[4
]}

Kim, Sang Min ^{[5
]}

Lee, Sang Yeub ^{[6
]}

Kwon, Woochan ^{[1
]}

Choi, Ki Hong ^{[1
]}

Park, Taek Kyu ^{[1
]}

Yang, Jeong Hoon ^{[1
]}

Bin Song, Young ^{[1
]}

Choi, Seung-Hyuk ^{[1
]}

Gwon, Hyeon-Cheol ^{[1
]}

Hahn, Joo-Yong ^{[1
]}

Lee, Joo Myung ^{[1
,7
]}

机构：

[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Internal Med, Seoul, South Korea

[2] Inje Univ, Ilsan Paik Hosp, Dept Internal Med, Goyang, South Korea

[3] Chonnam Natl Univ, Chonnam Natl Univ Hosp, Med Sch, Dept Internal Med, Gwangju, South Korea

[4] Sungkyunkwan Univ, Sch Med, Kangbuk Samsung Hosp, Dept Internal Med, Seoul, South Korea

[5] Chungbuk Natl Univ, Coll Med, Chungbuk Natl Univ Hosp, Dept Internal Med, Cheongju, South Korea

[6] Chung Ang Univ, Gwangmyeong Hosp, Dept Internal Med, Coll Med, Gwangmyeong, South Korea

[7] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Div Cardiol,Dept Med,Heart Vasc Stroke Inst, 81 Irwon Ro, Seoul 06351, South Korea

来源：

KOREAN JOURNAL OF INTERNAL MEDICINE | 2024年 / 39卷 / 05期

关键词：

Coronary artery disease; Chronic total occlusion; Percutaneous coronary intervention; Intravascular imaging; Pro- cedural optimization; ELUTING STENT IMPLANTATION; ULTRASOUND; IMPACT; TRACKING; OUTCOMES;

D O I：

10.3904/kjim.2023.420

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Although percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) has been increasing in recent years, CTO PCI is still one of the most challenging procedures with relatively higher rates of procedural complications and adverse clinical events after PCI. Due to the innate limitations of invasive coronary angiography, intravascular imaging (IVI) has been used as an adjunctive tool to complement PCI, especially in complex coronary artery disease. Considering the complexity of CTO lesions, the role of IVI is particularly important in CTO intervention. IVI has been a useful adjunctive tool in every step of CTO PCI including assisted wire crossing, confirmation of wire location within CTO segment, and stent optimization. The meticulous use of IVI has been one of the greatest contributors to recent progress of CTO PCI. Nevertheless, studies evaluating the role of IVI during CTO PCI are limited. The current review provides a comprehensive overview of the mechanistic advantages of IVI in CTO PCI, summarizes previous studies and trials, and presents future perspective of IVI in CTO PCI.

引用

页码：702 / 716

页数：15

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