慢性完全閉塞病變逆向介入治療技術(shù)進展

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【摘要】開通慢性完全閉塞病變?nèi)匀皇墙?jīng)皮冠狀動脈介入治療的最后挑戰(zhàn)之一。作為經(jīng)典的前向技術(shù)的重要補充，逆向技術(shù)是該治療的重要方法。盡管經(jīng)常被用于最復雜的病變，但逆向技術(shù)成功率高，并發(fā)癥發(fā)生率相對較低。自逆向技術(shù)出現(xiàn)以來，已經(jīng)有了重要改進，使其更安全、更快、更成功。

【關(guān)鍵詞】經(jīng)皮冠狀動脈介入治療；慢性完全閉塞；逆向技術(shù)

【DOI】10.16806/j.cnki.issn.1004-3934.2023.02.004

【Abstract】Chronic total occlusion recanalization still remains one of the last challenge of percutaneous coronary intervention.As one of the most important amendments technique，retrograde recanalization has become an essential supplement to the classical antegrade approach.It has a high success rate with a low complication，despite higher utilization in the most complex patients.Since its initial description，important evolutions have occurred and made the technique safer，faster and more successful.

【Key words】Percutaneous coronary intervention；Chronic total occlusion；Retrograde technique

隨著技術(shù)以及器械的發(fā)展，盡管慢性完全閉塞（chronic total occlusion，CTO）病變開通成功率較前明顯提高，但仍然是經(jīng)皮冠狀動脈介入治療（percutaneous coronary intervention，PCI）最后堡壘。（剩余12834字）