|
|
|
| Application of Microcatheter Ipsilateral Double Contrast Angiography in Anterior Interventional Therapy of CTO Lesions |
| LUO Hui, YU Zai-xin, ZHONG Xu, et al |
| The First Hospital of Changsha City, Changsha 410005 |
|
|
|
|
Abstract 【Objective】 To investigate the application value of microcatheter ipsilateral double angiography in patients with chronic total occlusion (CTO) undergoing anterior percutaneous coronary intervention (PCI). 【Methods】 Retrospective analysis was made on the patients diagnosed as J-CTO by coronary angiography in our hospital from January 2018 to December 2019. All 30 patients were treated with forward technique, including 13 cases of ipsilateral double angiography with microcatheter (observation group), and 17 cases with routine bilateral angiography (control group). Coronary angiography, J-CTO score, X-ray exposure time, total PCI time, dosage of contrast agent, incidence of surgical complications, complications of arterial puncture, incidence of major adverse cardiovascular events (MACE) and secondary end-point events and ejection fraction (LVEF) were compared between the two groups.【Results】 There was no significant difference in J-CTO score, the number of coronary artery lesions, the proportion of left anterior descending artery (LAD), left circumflex artery (LCX), and right coronary artery (RCA) between the two groups (P>0.05). There was no significant difference in X-ray exposure time, total PCI time, operation complications and artery puncture complications between the two groups (P>0.05). The dosage of contrast medium in the observation group was lower than that in the control group (P<0.05). There was no significant difference in MACE events, secondary end-point events and LVEF between the two groups 30 days after operation (P>0.05). 【Conclusion】 In the process of antegrade PCI Treatment of CTO lesions, the application of microcatheter ipsilateral dual angiography can better guide the process of PCI operation, and does not increase the difficulty of operation. At the same time, it can also reduce the use of contrast media and reduce the risk of complications of arterial puncture.
|
|
Received: 06 May 2020
|
|
|
|
|
|
[1] Galassi AR,Brilakis ES,Boukhris M,et al. Appropriateness of percutaneous revascularization of coronary chronic total occlusions:an overview[J].Eur Heart J,2016,37(35):2692-2700.
[2] Tamburino C,Capranzano P. Retrograde approach for chronic total occlusion percutaneous coronary intervention[J].Circ Cardiovasc Interv,2016,9(6):e004023.
[3] 杨跃进, 宋雷,李向东. 血管内超声指导前向主动真腔寻径(IVUS-ATS): 一种开通复杂冠状动脉慢性完全闭塞病变的创新技术[J].中国循环杂志,2019,34 (5): 417-421.
[4] 杨跃进, 宋雷. 血管内超声指导真腔寻径跟踪新技术治疗复杂慢性完全闭塞病变 [J].中国介入心脏病学杂志, 2017, 25(9): 534-537.
[5] 中国冠状动脉慢性闭塞病变介入治疗俱乐部. 中国冠状动脉慢性完全闭塞病变介入治疗推荐路径[J].中国介入心脏病学杂志,2018, 26(3):121-128.
[6] Brilakis ES, Grantham JA, Rinfret S, et al. A percutaneous treatment algorithm for crossing coronary chronic total occlusions[J].JACC Cardiovasc Interv,2012, 5(4): 367-379.
[7] 安明春 杨旭明. 冠状动脉慢性完全闭塞病变介入治疗及临床获益研究进展[J].心血管病学进展, 2019, 40(6):860-863.
[8] 戚跃勇. 经皮股动脉穿刺的常见并发症[J].重庆医学, 2004, 33(9):1408-1410.
[9] 周芳,尹春娥,王福军. 造影剂肾病的研究进展[J].中国医药科学,2019, 9(19):51-54. |
|
|
|
2020, Vol. 37 
