慢性全闭塞经皮冠状动脉介入治疗中克服严重迂曲的冠状动脉内卡压术

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-07-27 DOI:10.1016/j.crmic.2024.100041

Ahmed Al-Ogaili , Salman Allana , Yader Sandoval , Emmanouil S. Brilakis

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引用次数: 0

摘要

严重迂曲给慢性全闭塞（CTO）手术医生带来了挑战，并降低了 CTO 经皮冠状动脉介入治疗（PCI）的成功率。在接受过冠状动脉搭桥手术（CABG）的患者中，特别是在远端移植物吻合处，极度迂曲更为常见。我们介绍了三例具有挑战性的 CTO PCI 病例，这三例病例的患者都曾接受过 CABG 手术，在手术过程中，我们采用了冠状动脉内栓塞技术来克服严重的迂曲，并成功地对闭塞部位进行了再通。

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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Intracoronary snaring to overcome severe tortuosity in chronic total occlusion percutaneous coronary intervention

Severe tortuosity poses a challenge for chronic total occlusion (CTO) operators and decreases the success rate of CTO percutaneous coronary intervention (PCI). Extreme angulations are more common in patients with prior coronary artery bypass surgery (CABG) especially at the distal graft anastomosis. We present three challenging CTO PCI cases performed in patients with prior CABG during which intracoronary snaring was implemented to overcome severe tortuosity and successfully recanalize the occlusions.

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Cardiovascular Revascularization Medicine: Interesting Cases

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