標題: | Global Chronic Total Occlusion Crossing Algorithm: JACC State-of-the-Art Review |
作者: | Wu, Eugene B Brilakis, Emmanouil S Mashayekhi, Kambis Tsuchikane, Etsuo Alaswad, Khaldoon Araya, Mario Avran, Alexandre Azzalini, Lorenzo Babunashvili, Avtandil M Bayani, Baktash Behnes, Michael Bhindi, Ravinay Boudou, Nicolas Boukhris, Marouane Bozinovic, Nenad Z Bryniarski, Leszek Bufe, Alexander Buller, Christopher E Burke, M Nicholas Buttner, Achim Cardoso, Pedro Carlino, Mauro Chen, Ji-Yan Christiansen, Evald Hoej Colombo, Antonio Croce, Kevin de Los Santos, Felix Damas de Martini, Tony Dens, Joseph di Mario, Carlo Dou, Kefei Egred, Mohaned Elbarouni, Basem ElGuindy, Ahmed M Escaned, Javier Furkalo, Sergey Gagnor, Andrea Galassi, Alfredo R Garbo, Roberto Gasparini, Gabriele Ge, Junbo Ge, Lei Goel, Pravin Kumar Goktekin, Omer Gonzalo, Nieves Grancini, Luca Hall, Allison Hanna Quesada, Franklin Leonardo Hanratty, Colm Harb, Stefan Harding, Scott A Hatem, Raja Henriques, Jose P S Hildick-Smith, David Hill, Jonathan M Hoye, Angela Jaber, Wissam Jaffer, Farouc A Jang, Yangsoo Jussila, Risto Kalnins, Artis Kalyanasundaram, Arun Kandzari, David E HSIEN-LI KAO Karmpaliotis, Dimitri Kassem, Hussien Heshmat Khatri, Jaikirshan Knaapen, Paul Kornowski, Ran Krestyaninov, Oleg Kumar, A V Ganesh Lamelas, Pablo Manuel Lee, Seung-Whan Lefevre, Thierry Leung, Raymond Li, Yu Li, Yue Lim, Soo-Teik Lo, Sidney Lombardi, William Maran, Anbukarasi McEntegart, Margaret Moses, Jeffrey Munawar, Muhammad Navarro, Andres Ngo, Hung M Nicholson, William Oksnes, Anja Olivecrona, Goran K Padilla, Lucio Patel, Mitul Pershad, Ashish Postu, Marin Qian, Jie Quadros, Alexandre Rafeh, Nidal Abi Råmunddal, Truls Prakasa Rao, Vithala Surya Reifart, Nicolaus Riley, Robert F Rinfret, Stephane Saghatelyan, Meruzhan Sianos, George Smith, Elliot Spaedy, Anthony Spratt, James Stone, Gregg Strange, Julian W Tammam, Khalid O Thompson, Craig A Toma, Aurel Tremmel, Jennifer A Trinidad, Ricardo Santiago Ungi, Imre Vo, Minh Vu, Vu Hoang Walsh, Simon Werner, Gerald Wojcik, Jaroslaw Wollmuth, Jason Xu, Bo Yamane, Masahisa Ybarra, Luiz F Yeh, Robert W Zhang, Qi |
關鍵字: | chronic total occlusion; global; percutaneous coronary intervention; treatment algorithm |
公開日期: | 24-八月-2021 |
出版社: | ELSEVIER SCIENCE INC |
卷: | 78 |
期: | 8 |
起(迄)頁: | 840 |
來源出版物: | Journal of the American College of Cardiology |
摘要: | The authors developed a global chronic total occlusion crossing algorithm following 10 steps: 1) dual angiography; 2) careful angiographic review focusing on proximal cap morphology, occlusion segment, distal vessel quality, and collateral circulation; 3) approaching proximal cap ambiguity using intravascular ultrasound, retrograde, and move-the-cap techniques; 4) approaching poor distal vessel quality using the retrograde approach and bifurcation at the distal cap by use of a dual-lumen catheter and intravascular ultrasound; 5) feasibility of retrograde crossing through grafts and septal and epicardial collateral vessels; 6) antegrade wiring strategies; 7) retrograde approach; 8) changing strategy when failing to achieve progress; 9) considering performing an investment procedure if crossing attempts fail; and 10) stopping when reaching high radiation or contrast dose or in case of long procedural time, occurrence of a serious complication, operator and patient fatigue, or lack of expertise or equipment. This algorithm can improve outcomes and expand discussion, research, and collaboration. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/629089 |
ISSN: | 0735-1097 |
DOI: | 10.1016/j.jacc.2021.05.055 |
顯示於: | 醫學系
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