心声学与血液动力学评估对透缩功能障碍的评估
Lital Shaham1, Lior Fisher2, Amit Segev3
1Leviev Heart Center, Sheba Medical Center, Tel Hashomer and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Arrow Project, Sheba Medical Center, Tel Hashomer and Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
The Journal of invasive cardiology
|January 15, 2024
概括
对于骨关节的慢性完全闭塞 (CTOs) 的皮肤冠状动脉干预 (PCI) 提出了挑战. 这些手术的成功率较低,死亡和中风风险较高,与非敌对的CTO PCI相比.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 血管医学 血管医学
背景情况:
- 骨性慢性全闭症 (CTOs) 是冠状动脉疾病的一个复杂子集.
- 通过皮肤冠状动脉干预 (PCI) 进行这些病变的再血管化可能在技术上很苛刻.
研究的目的:
- 评估骨CTO PCI的临床和程序结果.
- 为了将这些结果与非敌对的CTO PCI进行比较.
主要方法:
- 对2012年至2022年间在35个国际中心执行的8788个CTO PCI程序进行了回顾性分析.
- 住院主要不良心脏事件 (MACE) 被定义为死亡,心肌梗塞,紧急重复目标血管再血管化,吸管和中风.
主要成果:
- 骨头CTO占所有CTO的12%,与较高的J-CTO分数有关.
- 奥斯蒂亚尔CTO PCI的技术 (82%对86%) 和程序 (81%对85%) 的成功率较低.
- 在骨性CTOPCI中观察到更高的住院死亡率 (0.9%对0.3%) 和中风率 (0.5%对0.1%),以及更多地使用逆行技术,更长的手术时间和更高的辐射剂量.
结论:
- 通常CTO的特点是复杂性增加,导致PCI的成功率降低.
- 骨CTO的PCI需要更频繁的逆向方法,并且与较高的死亡率和中风风险,长时间的手术和更大的辐射暴露有关.
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