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控制性正向和逆向导丝内膜下循径技术在逆向导丝介入治疗冠状动脉慢性闭塞性病变中的应用 被引量：4

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摘要 目的:探讨控制性正向和逆向导引导丝内膜下循径(controlledantegrade and retrograde subintimal tracking,CART)技术在逆向介入治疗冠状动脉慢性完全闭塞(chronic total occlusion,CTO)病变中应用的效果。方法:回顾性分析我院2008年5月至2010年9月16例既往曾在外院和我院常规正向导丝技术行冠状动脉介入治疗(percutaneous coronary intervention,PCI)失败的患者,本次采用逆向导丝技术行PCI;术中逆行导丝或正向导丝无法通过闭塞病变部位且走行于血管内膜下时,利用正向或逆向导丝送入球囊扩张血管内膜下腔隙,以便对侧导丝能够进入扩大的内膜下腔隙,进而控制导丝经过闭塞段内膜下腔隙进入闭塞病变近段或远段血管真腔,随后完成常规冠状动脉介入治疗。结果:总结逆行导丝技术及经验,16例尝试CART技术的病例中15例获得手术成功,1例失败;未发生血管穿孔;所有患者住院期间无死亡。结论:CTO介入治疗根据CTO病变影像学特征,适时合理的采取CART技术能提高手术成功率。
作者 刘映峰 庄丛明 何维娟 缪绯
机构地区 南方医科大学珠江医院
出处 《实用医学杂志》 CAS 北大核心 2011年第9期1623-1625,共3页 The Journal of Practical Medicine
基金 广东省医学科研基金项目(编号:A2008423)
关键词 控制性正向和逆向导丝内膜下循径技术 逆向导丝 慢性完全闭塞病变
分类号 R543 [医药卫生—心血管疾病]
  • 相关文献

参考文献5

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二级参考文献11

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共引文献30

同被引文献32

  • 1任红,刘莹,曹荣,李菲.冠状动脉慢性完全闭塞性病变患者介入治疗的护理[J].现代护理,2006,12(18):1702-1703. 被引量：1
  • 2葛均波,葛雷,黄榕翀.慢性完全闭塞病变介入治疗进展与展望[J].心血管病学进展,2007,28(2):165-167. 被引量：28
  • 3Ozaw AA. A new understanding of chronic total occlusion from a novel PCI technique that involves a retrograde approach to the right coronary artery via a septal branch and passing of the guide-wire to a guiding catheter on the other side of the lesion[J]. Catheter Cardiovasc Interv,2006,68(6):907 - 913.
  • 4Trotter R,Gallagher R. Anxiety in patients undergoing percutaneous coronary interventions [J]. Heart Lung, 2011,40 ( 3 ) : 185 - 192.
  • 5Rolley JX, Salamonson Y. Development of clinical practice guidelines for the nursing care of people undergoing percutaneous coronary interventions: An Australian & New Zealand collaboration [J]. Aust Crit Care,2011,23(4) :177 - 187.
  • 6Schilcher G, Ribitsch W, Otto R, et al. Early detection and intervention using neutrophil gelatinase- associated lipoclin(NGAL) may improve renal outcome of acute contrast media induced nephropathy:A randomized controlled trial in patients undergoing intra- arterial angiography(ANTI- CIN Study)[J]. BMC Nephrol, 2011,12(17):39-47.
  • 7Cosman TL, Arthur HM. Prevalence of bruising at the vascular access site one week after elective cardiac catheterization or percutaneous coronary intervention [J]. J Clin Nurs, 2011,20 ( 9 - 10) :1349 - 1356.
  • 8Funatsu A, Kobayashi T, Nakamura S.Use of the kissing mi- crocatheter technique to exchange a retrograde wire for an antegrade wirein the retrograde approach to intervention in chronic total occlusion [ J ]. Invasive Cardiol, 2010, 22 ( 5 ) : E74 - E77.
  • 9Jagadeesan BD, Mortazavi S, Hunter DW, et al.Endovascu- lar balloon- assisted embolization of high- flow peripheral vascular lesions using duallumen coaxial balloon microcathe- ter and Onyx: initial experience [ J ]. Vasc Interv Radiol, 2014,25(4) :587- 592.
  • 10李勇,邹剑杰,张韬,邵波.合并急性左心衰的非ST段抬高急性心肌梗死临床及冠状动脉病变特征[J].临床和实验医学杂志,2008,7(12):13-14. 被引量：4

二级引证文献8

实用医学杂志
2011年 第9期

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