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光ADR技术在以前的CABG患者的双重CTO病变之间创建一个通道

Huan Wang¹, You-Hu Chen¹, Gen-Rui Chen¹

¹Department of Cardiology, The First Affiliated Hospital of Air Force Military Medical University, Xi'an, 710032, China.

BMC cardiovascular disorders

|May 6, 2025

概括

这项案例研究突出了在绕道手术后治疗复杂冠状动脉疾病的新方法. 斯廷格雷前级解剖再进入技术成功地重新道化了多个冠状动脉血管中的慢性全闭.

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
血管生物学血管生物学

背景情况:

冠状动脉旁路移植 (CABG) 患者经常患有加速动脉样硬化.
软静脉移植 (SVG) 疾病或阻塞使本土冠状动脉的治疗复杂化.

研究的目的:

呈现一个成功的复杂的多血管慢性全封闭 (CTOs) 的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的复杂的.
在挑战冠状动脉干预中证明基于Stingray的前级解剖再进入 (ADR) 技术在挑战冠状动脉干预中的有效性.

主要方法:

这位患者在12年前接受过CABG,在血管学上发现了多种移植闭塞和本土血管CTO.
穿皮冠状动脉干预 (PCI) 专注于重新道化CTOs.
使用Stingray-ADR技术进行LAD CTO的升级前再通道化.
对RCA CTO的逆向再通道是通过隔膜担保实现的,利用LAD通道.

主要成果:

在左前垂下 (LAD) 和右冠状动脉 (RCA) 原生血管中成功地重新通慢性全闭.
顺利地将沙静脉移植 (SVG) 重建到第一个对角分支 (D1).
在RCA CTO的成功逆向重新道化中,使用了附带容器.

结论:

雷-ADR技术是先前有CABG的患者复杂的多血管CTO再通道化的有前途的方法.
这个案例说明了一种成功的混合前级逆行方法,用于治疗具有挑战性的冠状动脉病变.

关键词:

前级解剖重新进入 (ADR)慢性全闭症 (CTO) 是一种全闭症.冠状动脉旁路移植 (CABG) 冠状动脉旁路移植皮肤穿透冠状动脉干预 (PCI)沙芬静脉移植 (SVG) 是一种静脉移植.

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