Solving Challenging Situations and Complications in Everyday Percutaneous Coronary Intervention Using Chronic Total Occlusion Techniques

被引：1

作者：

Azzalini, Lorenzo ^{[1
,2
]}

Tzanis, Georgios ^{[1
]}

Mashayekhi, Kambis ^{[3
]}

Uretsky, Barry F. ^{[4
]}

Ojeda, Soledad ^{[5
]}

Pan, Manuel ^{[5
]}

Rinfret, Stephane ^{[6
]}

Avran, Alexandre ^{[7
]}

Alaswad, Khaldoon ^{[8
]}

Yamane, Masahisa ^{[9
]}

Karmpaliotis, Dimitri ^{[10
]}

Brilakis, Emmanouil S. ^{[11
,12
]}

Carlino, Mauro ^{[1
]}

Ybarra, Luiz F. ^{[13
]}

机构：

[1] Ist Sci San Raffaele, Intervent Cardiol Div, Cardiothorac Vasc Dept, Via Olgettina 60, I-20132 Milan, Italy

[2] Mt Sinai Hosp, Cardiac Catheterizat Lab, New York, NY 10029 USA

[3] Univ Heart Ctr Freiburg, Div Cardiol & Angiol 2, Bad Krozingen, Germany

[4] Univ Arkansas Med Sci, Div Cardiol, Cent Arkansas Vet Hlth Syst, Little Rock, AR 72205 USA

[5] Univ Cordoba, Reina Sofia Hosp, Maimonides Inst Res Biomed C6rdoba IMIBIC, Div Intervent Cardiol, Cordoba, Spain

[6] McGill Univ, Hlth Ctr, Intervent Cardiol, Montreal, PQ, Canada

[7] Clin St Georges, Nice, France

[8] Henry Ford Hosp, Edith & Benson Ford Heart & Vasc Inst, Cardiac Catheterizat Lab, Detroit, MI 48202 USA

[9] Saitama Sekishinkai Hosp, Cardiol Dept, Saitama, Japan

[10] Columbia Univ, Dept Med, Med Ctr, Ctr Intervent Vasc Therapy,Div Cardiol, New York, NY USA

[11] Minneapolis Heart Inst, Ctr Adv Coronary Intervent, Minneapolis, MN USA

[12] Minneapolis Heart Inst Fdn, Minneapolis, MN USA

[13] Univ Western Ontario, Ondon Hlth Sci Ctr, Schulich Sch Med & Dent, London, ON, Canada

来源：

JOURNAL OF INVASIVE CARDIOLOGY | 2020年 / 32卷 / 03期

关键词：

chronic total occlusion; complications; occlusion; percutaneous coronary intervention; perforation; rupture; SUCCESSFUL RETRIEVAL; PLAQUE MODIFICATION; ROTABLATOR BURR; BALLOON; CATHETER; WIRE;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The field of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has witnessed a dramatic evolution in the last decade. The challenging nature of CTO interventions involves regularly dealing with support-related issues, uncrossable/undilatable lesions, manipulation of equipment in the subadventitial (also known as "subintimal") space, and the treatment of complications such as perforation and equipment loss or entrapment. The CTO experience has provided numerous techniques to the creative operator facing challenges in the non-CTO PCI setting. Herewith, we discuss an armamentarium of techniques routinely used in CTO-PCI, which can also be utilized in interventions for non-occlusive coronary artery disease and have the potential to improve the efficacy and safety of these procedures.

引用

页码：E63 / E72

页数：10

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