逆行性慢性完全闭塞通过皮肤冠状动脉干预通过ipsilateral附带资产进行
Ahmed Al-Ogaili1, Michaella Alexandrou1, Athanasios Rempakos1
1Minneapolis Heart Institute, Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.
概括
逆行性慢性全封闭 (CTO) 通过皮肤冠状动脉干预 (PCI) 使用ipsilateral表心附带 (IEC) 显示相似的成功率,但与其他附带类型相比并发症增加.
科学领域:
- 心血管干预 心血管干预
- 干预心脏病学 干预心脏病学
- 冠状动脉疾病 冠状动脉疾病
背景情况:
- 有限的数据存在于逆行慢性全闭症 (CTO) 通过皮肤冠状动脉干预 (PCI) 使用ipsilateral表心附带 (IEC).
- 了解逆行CTO PCI中IEC的可行性和结果对于扩大治疗选择至关重要.
研究的目的:
- 通过IEC与其他附带途径比较逆行性CTO PCI的临床,血管学特征和结果.
- 评估使用IEC用于复杂冠状动脉干预的安全性和有效性.
主要方法:
- 一项观察性队列研究,利用前性全球注册表的数据来研究慢性全闭干预 (PROGRESS-CTO).
- 分析了4466个落后的CTO PCI案例,特别关注191个使用IEC的案例.
- 在IEC和非IEC附带组之间比较程序成功率,技术成功率和并发症率.
主要成果:
- 对IEC的电线成功率为50%. 左环动脉是IEC组中最常见的目标.
- 技术 (76%对79%) 和程序成功率 (74%对79%) 在IEC和其他担保集团之间是可比的.
- 在IEC病例中,周围手术并发症的发生率显著高 (25.8%与16.4%相比),包括穿孔和心周切口.
结论:
- 通过IEC实现逆行CTO PCI,其技术和程序成功率与其他附带方法相似.
- 使用IEC与更高的周围手术并发症发生率有关,需要仔细考虑和技术.
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