Update on chronic total occlusion percutaneous coronary intervention

被引：13
|
作者：
Assali, Maen [1 ]
Buda, Kevin G. [1 ,2 ]
Megaly, Michael [3 ]
Hall, Allison B. [4 ]
Burke, M. Nicholas [5 ,6 ,7 ,8 ]
Brilakis, Emmanouil S. [5 ,6 ,7 ,8 ]
机构：
[1] Hennepin Cty Med Ctr, Dept Cardiovasc Med, Minneapolis, MN 55415 USA
[2] Hennepin Cty Med Ctr, Dept Internal Med, Minneapolis, MN 55415 USA
[3] Henry Ford Hlth Syst, Div Cardiol, Detroit, MI USA
[4] Eastern Hlth Mem Univ Newfoundland, St John, NL, Canada
[5] Abbott NW Hosp, Minneapolis Heart Inst, Minneapolis, MN USA
[6] Abbott NW Hosp, Minneapolis Heart Inst Fdn, Minneapolis, MN USA
[7] Abbott Northwestern, Minneapolis Heart Inst, Ctr Coronary Artery Dis, Minneapolis, MN USA
[8] Abbott Northwestern, Minneapolis Heart Inst Fdn, Minneapolis, MN USA
来源：
PROGRESS IN CARDIOVASCULAR DISEASES | 2021年 / 69卷
关键词：
Chronic total occlusion; Percutaneous coronary interventions; Techniques; Complications; Outcomes; PROCEDURAL OUTCOMES; HEALTH-STATUS; ALGORITHM; INSIGHTS; SUCCESS; IMPACT; MECHANISMS;
D O I：
10.1016/j.pcad.2021.11.004
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Chronic total occlusion (CTO) percutaneous coronary interventions (PCI) can be challenging to perform. The main indication for CTO PCI is to improve symptoms. Several contemporary studies have reported high CTO PCI success rates at experienced centers but success rates in all-comer registries remain low. Several scores can estimate the difficulty and the likelihood of success of CTO PCI. Dual arterial access and use of CTO crossing algorithms can improve the success and safety of CTO PCI. Intracoronary imaging can optimize stent expansion and minimize adverse cardiovascular events. While complications are more common in CTO PCI, careful planning and prompt diagnosis and treatment can prevent them or minimize their adverse consequences. In this article, we review contemporary data on the indications, safety and efficacy of CTO PCI. (c) 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码：27 / 34
页数：8
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