[1]张颖 集铄媛 谷国强.冠状动脉慢性完全闭塞正向介入治疗技术进展[J].心血管病学进展,2023,(2):122-126.[doi:10.16806/j.cnki.issn.1004-3934.2023.02.006]
　ZHANG Ying,JI Shuoyuan,GU Guoqiang.Antegrade Approach to Percutaneous Coronary Intervention for Coronary Chronic Total Occlusion[J].Advances in Cardiovascular Diseases,2023,(2):122-126.[doi:10.16806/j.cnki.issn.1004-3934.2023.02.006]
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冠状动脉慢性完全闭塞正向介入治疗技术进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2023年2期
页码:
122-126
栏目:
主题综述
出版日期:
2023-02-25

文章信息/Info

Title:
Antegrade Approach to Percutaneous Coronary Intervention for Coronary Chronic Total Occlusion
作者:
张颖 集铄媛 谷国强
(河北医科大学第二医院心内科,河北 石家庄 050000)
Author(s):
ZHANG Ying ; JI Shuoyuan; GU Guoqiang
(Department of Cardiology,The Second Hospital of Hebei Medical University,050000 Shijiazhuang,Hebei,China)
关键词:
冠状动脉慢性完全闭塞; 正向导丝升级; 平行导丝; 正向夹层再入真腔
Keywords:
Coronary chronic total occlusion;  Antegrade wire escalation;  Parallel wiring;  Antegrade dissection reentry
DOI:
10.16806/j.cnki.issn.1004-3934.2023.02.006
摘要:
正向介入治疗是临床中最常用的冠状动脉慢性完全闭塞开通策略，正向介入技术包括导丝升级技术、平行导丝技术、正向夹层再入真腔技术和前向开通再入真腔技术。“血管结构”理念为内膜下再入真腔技术提供理论基础，利用内膜下空间通过导丝，恢复正向血流的正向夹层、前向开通再入真腔技术得到应用和发展。现主要对正向介入技术的更新与发展，国际及国内的多种推荐路径的差异及不同正向介入治疗方法的适应症做一综述，为临床规范使用正向介入治疗技术提供理论依据。
Abstract:
Antegrade approach to percutaneous coronary intervention (PCI) is the most commonly used CTO crossing strategy,which includes wire escalation,parallel wiring,antegrade dissection reentry (ADR) and antegrade fenestration and reentry (AFR). The “Vessel Structure” concept is the foundation of subintimal dissection/reentry. The ADR and AFR technique s using the guide wire to cross the lesion through subintimal space of the coronary artery and restor e antegrade blood flow have been widely applied?and developed. To provide the theoretical basis for standardizing the using of antegrade wiring,this review summarizes the development and update of the antegrade approach to PCI,compares the difference between international and domestic crossing algorithms,and analyzes the indications of different antegrade wiring technique

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更新日期/Last Update: 2023-03-23