[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

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备注/Memo

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