作者
Emmanouil S Brilakis, Kambis Mashayekhi, Etsuo Tsuchikane, Nidal Abi Rafeh, Khaldoon Alaswad, Mario Araya, Alexandre Avran, Lorenzo Azzalini, Avtandil M Babunashvili, Baktash Bayani, Ravinay Bhindi, Nicolas Boudou, Marouane Boukhris, Nenad Ž Božinović, Leszek Bryniarski, Alexander Bufe, Christopher E Buller, M Nicholas Burke, Heinz Joachim Buettner, Pedro Cardoso, Mauro Carlino, Evald H Christiansen, Antonio Colombo, Kevin Croce, Felix Damas de Los Santos, Tony De Martini, Joseph Dens, Carlo Di Mario, Kefei Dou, Mohaned Egred, Ahmed M ElGuindy, Javier Escaned, Sergey Furkalo, Andrea Gagnor, Alfredo R Galassi, Roberto Garbo, Junbo Ge, Pravin Kumar Goel, Omer Goktekin, Luca Grancini, J Aaron Grantham, Colm Hanratty, Stefan Harb, Scott A Harding, Jose PS Henriques, Jonathan M Hill, Farouc A Jaffer, Yangsoo Jang, Risto Jussila, Artis Kalnins, Arun Kalyanasundaram, David E Kandzari, Hsien-Li Kao, Dimitri Karmpaliotis, Hussien Heshmat Kassem, Paul Knaapen, Ran Kornowski, Oleg Krestyaninov, AV Ganesh Kumar, Peep Laanmets, Pablo Lamelas, Seung-Whan Lee, Thierry Lefevre, Yue Li, Soo-Teik Lim, Sidney Lo, William Lombardi, Margaret McEntegart, Muhammad Munawar, Jose Andres Navarro Lecaro, Hung M Ngo, William Nicholson, Göran K Olivecrona, Lucio Padilla, Marin Postu, Alexandre Quadros, Franklin Hanna Quesada, Vithala Surya Prakasa Rao, Nicolaus Reifart, Meruzhan Saghatelyan, Ricardo Santiago, George Sianos, Elliot Smith, James C. Spratt, Gregg W Stone, Julian W Strange, Khalid Tammam, Imre Ungi, Minh Vo, Vu Hoang Vu, Simon Walsh, Gerald S Werner, Jason R Wollmuth, Eugene B Wu, R Michael Wyman, Bo Xu, Masahisa Yamane, Luiz F Ybarra, Robert W Yeh, Qi Zhang, Stephane Rinfret
发表日期
2019/7/30
来源
Circulation
卷号
140
期号
5
页码范围
420-433
出版商
Lippincott Williams & Wilkins
简介
Outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) have improved because of advancements in equipment and techniques. With global collaboration and knowledge sharing, we have identified 7 common principles that are widely accepted as best practices for CTO-PCI.
1. Ischemic symptom improvement is the primary indication for CTO-PCI.
2. Dual coronary angiography and in-depth and structured review of the angiogram (and, if available, coronary computed tomography angiography) are key for planning and safely performing CTO-PCI.
3. Use of a microcatheter is essential for optimal guidewire manipulation and exchanges.
4. Antegrade wiring, antegrade dissection and reentry, and the retrograde approach are all complementary and necessary crossing strategies. Antegrade wiring is the most common initial technique, whereas retrograde and antegrade dissection and …
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