https://scholars.lib.ntu.edu.tw/handle/123456789/533564
標題: | Advances in CrossBoss/Stingray use in antegrade dissection reentry from the Asia Pacific Chronic Total Occlusion Club | 作者: | Wu E.B. Brilakis E.S. Lo S. Kalyanasundaram A. Mashayekhi K. HSIEN-LI KAO Lim S.-T. Ge L. Chen J.-Y. Qian J. Lee S.-W. Harding S.A. Tsuchikane E. |
關鍵字: | CAD—coronary artery disease; CTO—Chronic Total occlusion; HRC—hybrid revascularization coronary; PCI—percutaneous coronary intervention | 公開日期: | 2020 | 出版社: | John Wiley and Sons Inc | 卷: | 96 | 期: | 7 | 起(迄)頁: | 1423-1433 | 來源出版物: | Catheterization and Cardiovascular Interventions | 摘要: | Antegrade dissection reentry with Stingray device (Boston Scientific, Marlborough, MA) accounts for 20–34% of the chronic total occlusion (CTO) cases in the various hybrid operators' CTO registries and is an important component of CTO crossing algorithms. The Stingray device can facilitate antegrade dissection and reentry, however its use is low outside North America and Europe. The Asia Pacific CTO Club along with three experience Stingray operators from the US, Europe and India, created an algorithm guiding use of the CrossBoss and Stingray catheter. This APCTO Stingray algorithm defines when to use the CrossBoss and Stingray device recommending a reduction in CrossBoss use except for in-stent restenosis lesions and immediate transition from knuckle wiring to the Stingray device. When antegrade wiring fails, choice of Stingray-facilitated reentry versus parallel wiring depends on operator experience, device availability, cost concerns, and anatomical factors. When the antegrade wire enters the subintimal space, we recommend using a rotational microcatheter to produce a channel and deliver the Stingray balloon—so called the “bougie technique.” We recommend early switch to Stingray rather than persisting with single wire redirection or parallel wire. We recommend choosing a suitable reentry zone based on preprocedural computer tomography or angiogram, routine use of stick and swap, routine use of Subintimal TRAnscatheter Withdrawal (STRAW) through the Stingray balloon, and the multi stick and swap technique. We believe these techniques and algorithm can facilitate incorporation of the Stingray balloon into the practice of CTO interventionists globally. ? 2019 The Authors. Catheterization and Cardiovascular Interventions published by Wiley Periodicals, Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076215606&doi=10.1002%2fccd.28607&partnerID=40&md5=bc12227f328833b5fcc0f5aa9568f387 https://scholars.lib.ntu.edu.tw/handle/123456789/533564 |
ISSN: | 1522-1946 | DOI: | 10.1002/ccd.28607 | SDG/關鍵字: | algorithm; Article; chronic total occlusion; coronary artery disease; Europe; human; in-stent restenosis; North America; percutaneous coronary intervention; register; second look surgery; adverse event; Asia; Australia; chronic disease; clinical trial; coronary artery occlusion; decision support system; devices; diagnostic imaging; equipment design; heart catheter; heart catheterization; multicenter study; New Zealand; pathophysiology; restenosis; time factor; transluminal coronary angioplasty; treatment outcome; vascular patency; Algorithms; Angioplasty, Balloon, Coronary; Asia; Australia; Cardiac Catheterization; Cardiac Catheters; Chronic Disease; Coronary Occlusion; Coronary Restenosis; Decision Support Techniques; Equipment Design; Humans; New Zealand; Time Factors; Treatment Outcome; Vascular Patency |
顯示於: | 醫學系 |
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