冠状动脉慢性闭塞病变分型与血管再通介入治疗技巧

• 作 者: 吕安林 王海昌
• 机 构: 第四军医大学西京医院心血管内科,
• 出 处: 国际内科学杂志
• 发表日期: 2009年02期
• 关键词: 冠状动脉慢性闭塞病变 分型 介入治疗 血管再通

冠状动脉慢性闭塞病变(CTO)的血管再通介入治疗一直是冠状动脉粥样硬化性心脏病介入治疗的难题,严重影响患者的近、远期疗效、心功能及长期生存率。本文首先分析了CTO的临床特点、影像学特点和病理特点,再根据上述特点提出了CTO的分型认知方法和定义,最后根据分型和病理变化特点阐明了CTO血管再通介入治疗的原则、策略和技术技巧。

Coronary recanalization of chronic obstructive disease (CTO) has been a difficult problem in the interventional therapy of coronary atherosclerotic heart disease, which seriously affects the short-term and long-term effects, cardiac function and long-term survival rate of patients. This paper first analyzes the clinical features, imaging features and pathological features of CTO, and then puts forward the CTO classification and cognitive methods and definitions according to the above characteristics. Finally, according to the characteristics of classification and pathological changes, the principle of interventional therapy of CTO Strategy and technical skills.