慢性全闭塞经皮冠状动脉介入治疗的术前规划。

IF 2.3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

American Journal of Cardiology Pub Date : 2024-10-15 DOI:10.1016/j.amjcard.2024.10.001

Keerthi T. Gondi MD , Amit Goyal MD , Jesse Kane MD , Salman S. Allana MD

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引用次数: 0

摘要

慢性全闭塞（CTO）在临床实践中经常遇到。虽然随着设备的更新、算法方法的使用以及手术技术的进步，CTO 经皮冠状动脉介入治疗（PCI）的成功率和安全性已显著提高，但 CTO PCI 的并发症发生率仍高于非 CTO PCI。因此，在进行 CTO PCI 之前，必须进行缜密的术前规划，以提高手术成功率并降低并发症风险。本文回顾了 CTO PCI 术前规划的多个方面，包括手术适应症、疗效、安全性、诊断性血管造影、手术成功率和风险预测评分工具以及术前使用计算机断层扫描冠状动脉造影。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Preprocedural Planning for Chronic Total Occlusion Percutaneous Coronary Intervention

Chronic total occlusions (CTO) are frequently encountered in clinical practice. Although the success rates and safety of CTO percutaneous coronary intervention (PCI) have significantly improved with the development of newer equipment, use of an algorithmic approach, and advancement in procedural techniques, CTO PCI has a higher rate of complication than does non-CTO PCI. Therefore, meticulous preprocedural planning before CTO PCI is paramount to improve success and reduce the risk of complications. In this report, we review multiple aspects of preprocedural CTO PCI planning, including procedural indications, efficacy, safety, diagnostic angiography, scoring tools for procedural success and risk prediction, and preprocedural use of computed tomography coronary angiography.

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来源期刊

American Journal of Cardiology 医学-心血管系统

CiteScore

4.00

自引率

3.60%

发文量

698

审稿时长

33 days

期刊介绍： Published 24 times a year, The American Journal of Cardiology® is an independent journal designed for cardiovascular disease specialists and internists with a subspecialty in cardiology throughout the world. AJC is an independent, scientific, peer-reviewed journal of original articles that focus on the practical, clinical approach to the diagnosis and treatment of cardiovascular disease. AJC has one of the fastest acceptance to publication times in Cardiology. Features report on systemic hypertension, methodology, drugs, pacing, arrhythmia, preventive cardiology, congestive heart failure, valvular heart disease, congenital heart disease, and cardiomyopathy. Also included are editorials, readers'' comments, and symposia.