[1]罗倩黄晶乔瑾黄明刚.无创影像学在冠状动脉慢性完全闭塞病变血运重建中的应用[J].心血管病学进展,2023,(4):308.[doi:10.16806/j.cnki.issn.1004-3934.2023.04.005]
 LUO Qian,HUANG Jing,QIAO Jin,et al.Application of Noninvasive Imaging in Revascularization of Chronic Total Occlusion of Coronary Artery[J].Advances in Cardiovascular Diseases,2023,(4):308.[doi:10.16806/j.cnki.issn.1004-3934.2023.04.005]
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无创影像学在冠状动脉慢性完全闭塞病变血运重建中的应用()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2023年4期
页码:
308
栏目:
综述
出版日期:
2023-04-25

文章信息/Info

Title:
Application of Noninvasive Imaging in Revascularization of Chronic Total Occlusion of Coronary Artery
作者:
罗倩1黄晶1乔瑾1黄明刚2
1.西安医学院,陕西 西安 710068;2.陕西省人民医院CT室,陕西 西安 710068
Author(s):
LUO Qian1HUANG Jing1QIAO Jin1HUANG Mingang2
(1.Xian Medical University,Xian 710068,Shaanxi,China;2.Shaanxi Provincial Peoples Hospital,Xian 710068,Shaanxi,China)
关键词:
冠慢性完全闭塞无创影像学心肌活性冠状动脉CT血管成像
Keywords:
Coronaryhronic total occlusionNoninvasive imaging
DOI:
10.16806/j.cnki.issn.1004-3934.2023.04.005
摘要:
冠状动脉慢性完全闭塞(CTO)病变占冠状动脉造影确诊为的20%30%。尽管PCI)技术发展迅速,但CTO-PCI仍然是冠心病治疗领域的壁垒,CTO-PCI失败最常见的原因是导丝无法通过闭塞病变及球囊不能充分扩张,而动脉夹层、穿孔及损伤同侧是常见的操作并发症。因此,前需要综合考虑病变的解剖特征、存活心肌及患者的一般情况,选择适合CTO-PCI的患者就无创影像学在CTO-PCI中的应用简要综述。
Abstract:
percutaneous coronary intervention(PCI) technology, CTO-PCI is still the last barrier in the field of coronary heart disease treatment. The most common reason for CTO-PCI failure is that the guide wire or balloon cannot pass through the occlusive lesion and the balloon cannot fully expand. Coronary artery dissection, perforation and injury of ipsilateral collateral are common operational complications.Therefore, before PCI, it is necessary to comprehensively consider the anatomical characteristics of lesions, viable myocardium and the general situation of patients, and select patients suitable for CTO-PCI. Therefore, this article briefly reviews the application of non-invasive imaging in CTO-PCI

参考文献/References:

[1] Brilakis ES,Mashayekhi K,Tsuchikane E,et al. Guiding principles for chronic total occlusion percutaneous coronary intervention[J]. Circulation,2019,140(5):420-433.
[2] Almeida AG,Carpenter J,Cameli M,et al. Multimodality imaging of myocardial viability: an expert consensus document from the European Association of Cardiovascular Imaging (EACVI)[J]. Eur Heart J Cardiovasc Imaging,2021,22(8):e97-e125.
[3] Tajti P,Karmpaliotis D,Alaswad K,et al. The hybrid approach to chronic total occlusion percutaneous coronary intervention: update from the PROGRESS CTO registry[J]. JACC Cardiovasc Interv,2018,11(14):1325-1335.
[4] Quadros A,Belli KC,de Paula J,et al. Chronic total occlusion percutaneous coronary intervention in Latin America[J]. Catheter Cardiovasc Interv,2020,96(5):1046-1055.
[5] Levine GN,Bates ER,Blankenship JC,et al. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions[J]. Circulation,2011,124(23):e574-e651.
[6] Garcia MJ,Kwong RY,Scherrer-Crosbie M,et al. State of the art: imaging for myocardial viability: a scientific statement from the American Heart Association[J]. Circ Cardiovasc Imaging,2020,13(7):e53.
[7] Yang L,Guo L,Lv H,et al. Predictors of adverse events among chronic total occlusion patients undergoing successful percutaneous coronary intervention and medical therapy[J]. Clin Interv Aging,2021,16:1847-1855.
[8] Werner GS,Martin-Yuste V,Hildick-Smith D,et al. A randomized multicentre trial to compare revascularization with optimal medical therapy for the treatment of chronic total coronary occlusions[J]. Eur Heart J,2018,39(26):2484-2493.
[9] Rubinshtein R,Danenberg H. Preprocedural coronary CT angiography effect on the likelihood to restore flow in chronic total occlusion[J]. JACC Cardiovasc Imaging,2021,14(10):2005-2007.
[10] Hong SJ,Kim BK,Cho I,et al. Effect of coronary CTA on chronic total occlusion percutaneous coronary intervention: a randomized trial[J]. JACC Cardiovasc Imaging,2021,14(10):1993-2004.
[11] Karatasakis A,Danek BA,Karmpaliotis D,et al. Impact of proximal cap ambiguity on outcomes of chronic total occlusion percutaneous coronary intervention: insights from a multicenter US registry[J]. J Invasive Cardiol,2016,28(10):391-396.
[12] Yu CW,Lee HJ,Suh J,et al. Coronary computed tomography angiography predicts guidewire crossing and success of percutaneous intervention for chronic total occlusion: korean multicenter CTO CT registry score as a tool for assessing difficulty in chronic total occlusion percutaneous coronary intervention[J]. Circ Cardiovasc Imaging,2017,10(4):e005800.
[13] Werner GS. Use of coronary computed tomographic angiography to facilitate percutaneous coronary intervention of chronic total occlusions[J]. Circ Cardiovasc Interv,2019,12(10):e7387.
[14] Opolski MP,Achenbach S,Schuhback A,et al. Coronary computed tomographic prediction rule for time-efficient guidewire crossing through chronic total occlusion: insights from the CT-RECTOR multicenter registry (Computed Tomography Registry of Chronic Total Occlusion Revascularization)[J]. JACC Cardiovasc Interv,2015,8(2):257-267.
[15] Karmpaliotis D,Karatasakis A,Alaswad K,et al. Outcomes with the use of the retrograde approach for coronary chronic total occlusion interventions in a contemporary multicenter US registry[J]. Circ Cardiovasc Interv,2016,9(6):10.1161/CIRCINTERVENTIONS.115.003434 e003434.
[16] Huang CC,Lee CK,Meng SW,et al. Collateral channel size and tortuosity predict retrograde percutaneous coronary intervention success for chronic total occlusion[J]. Circ Cardiovasc Interv,2018,11(1):e5124.
[17] Sugaya T,Oyama-Manabe N,Yamaguchi T,et al. Visualization of collateral channels with coronary computed tomography angiography for the retrograde approach in percutaneous coronary intervention for chronic total occlusion[J]. J Cardiovasc Comput Tomogr,2016,10(2):128-134.
[18] Choi JH,Kim EK,Kim SM,et al. Noninvasive evaluation of coronary collateral arterial flow by coronary computed tomographic angiography[J]. Circ Cardiovasc Imaging,2014,7(3):482-490.
[19] Li M,Zhang J,Pan J,et al. Obstructive coronary artery disease: reverse attenuation gradient sign at CT indicates distal retrograde flow—a useful sign for differentiating chronic total occlusion from subtotal occlusion[J]. Radiology,2013,266(3):766-772.
[20] 杨雪瑶,栗佳男,韩烨,等. 应用心脏磁共振成像评估冠状动脉慢性完全闭塞病变供血心肌活性研究[J]. 中国介入心脏病学杂志,2019,27(1):28-34.
[21] Parikh K,Choy-Shan A,Ghesani M,et al. Multimodality imaging of myocardial viability[J]. Curr Cardiol Rep,2021,23(1):5.
[22] Li JN,He Y,Dong W,et al. Comparison of cardiac MRI with PET for assessment of myocardial viability in patients with coronary chronic total occlusion[J]. Clin Radiol,2019,74(5):410-411.
[23] Baks T,van Geuns RJ,Duncker DJ,et al. Prediction of left ventricular function after drug-eluting stent implantation for chronic total coronary occlusions[J]. J Am Coll Cardiol,2006,47(4):721-725.
[24] Kirschbaum SW,Baks T,van den Ent M,et al. Evaluation of left ventricular function three years after percutaneous recanalization of chronic total coronary occlusions[J]. Am J Cardiol,2008,101(2):179-185.
[25] Chen Y,Zheng X,Jin H,et al. Role of myocardial extracellular volume fraction measured with magnetic resonance imaging in the prediction of left ventricular functional outcome after revascularization of chronic total occlusion of coronary arteries[J]. Korean J Radiol,2019,20(1):83-93.
[26] Zhang C,Li X,Mou A,et al. Assessment of late gadolinium enhancement-negative chronic total occlusion by longitudinal strain analysis using cardiac magnetic resonance imaging[J]. Acta Radiol,2022,63(12):200311075.
[27] 张丽君,田晋帆,杨雪瑶,等. 心脏磁共振评估冠状动脉慢性完全闭塞性病变患者左心室心肌应变的临床价值[J]. 中华心血管病杂志,2021,49(6):601-609.
[28] Li L,Wang F,Xu T,et al. The detection of viable myocardium by low-dose dobutamine stress speckle tracking echocardiography in patients with old myocardial infarction[J]. J Clin Ultrasound,2016,44(9):545-554.
[29] Liu K,Wang Y,Hao Q,et al. Evaluation of myocardial viability in patients with acute myocardial infarction:layer-specific analysis of 2-dimensional speckle tracking echocardiography[J]. Medicine (Baltimore),2019,98(3):e13959.
[30] Wang P,Liu Y,Ren L. Evaluation of left ventricular function after percutaneous recanalization of chronic coronary occlusions:the role of two-dimensional speckle tracking echocardiography[J]. Herz,2019,44(2):170-174.
[31] Nakachi T,Kato S,Saito N,et al. Non-invasive evaluation of patients undergoing percutaneous coronary intervention for chronic total occlusion[J]. J Clin Med,2021,10(20):4712.
[32] Allahwala UK,Brilakis ES,Kiat H,et al. The indications and utility of adjunctive imaging modalities for chronic total occlusion (CTO) intervention[J]. J Nucl Cardiol,2021,28(6):2597-2608.
[33] D’Egidio G,Nichol G,Williams KA,et al. Increasing benefit from revascularization is associated with increasing amounts of myocardial hibernation: a substudy of the PARR-2 trial[J]. JACC Cardiovasc Imaging,2009,2(9):1060-1068.
[34] 翟光耀,王建龙,刘宇扬,等. (18)F-FDG PET/CT心肌代谢显像和侧支循环形成对于冠状动脉慢性闭塞性病变心功能预后价值的比较分析[J]. 中华医学杂志,2018,98(17):1342-1346.
[35] Dong W,Li J,Mi H,et al. Relationship between collateral circulation and myocardial viability of (18)F-FDG PET/CT subtended by chronic total occluded coronary arteries[J]. Ann Nucl Med,2018,32(3):197-205.
[36] 马兴鸿,汪蕾,方纬. 核素心肌显像在冠状动脉慢性完全闭塞临床诊疗中的应用价值[J]. 心血管病学进展,2022,43(4):313-317.

备注/Memo

备注/Memo:
收稿日期:2022-07-07
更新日期/Last Update: 2023-05-17