慢性全闭塞血运重建术中持续机械吸引的应用。

Journal of the Society for Cardiovascular Angiography & Interventions Pub Date : 2024-12-01 DOI:10.1016/j.jscai.2024.102392

Paul Gilbert MD , Taral Patel MD , Ankur Gupta MD

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引用次数: 0

摘要

慢性全闭塞（CTO）经皮冠状动脉介入治疗（PCI）与非CTO的PCI相比是高风险的。医源性冠状动脉血肿形成在CTO PCI过程中很常见，损害了真正的管腔显像。我们描述了连续机械吸引（CMS）装置在2个应用中的使用，其中它被用于成功的内膜下血肿减压和远端血管再入。此外，我们简要回顾了CMS在已发表文献中的应用。在CTO期间使用CMS可能是未来血运重建尝试的可行技术。

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Continuous Mechanical Suction Use During Chronic Total Occlusion Revascularization

Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is high risk compared to non-CTO PCI. Iatrogenic coronary artery hematoma formation is a common occurrence during CTO PCI, impairing true lumen visualization. We describe the use of a continuous mechanical suction (CMS) device in 2 applications in which it was used for successful subintimal hematoma decompression and distal vessel re-entry. Additionally, we briefly review CMS utilization within the published literature. CMS use during CTO may be a viable technique in future revascularization attempts.

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来源期刊

Journal of the Society for Cardiovascular Angiography & Interventions Cardiology and Cardiovascular Medicine

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

48 days