冠状动脉慢性完全闭塞病变介入治疗的临床证据解读

Interpretation of Clinical Evidence of Chronic Total Occulusion-Percutaneous Coronary Intervention

近年随着设备和技术的改进及操作经验的不断积累,冠状动脉慢性完全闭塞病变的经皮冠状动脉介入治疗(PCI)发展迅速,但不成功的血运重建增加了心血管事件风险,影响了预后,使得冠状动脉慢性完全闭塞病变仍然是介入心脏病专家面临的最大挑战之一。现通过回顾既往冠状动脉慢性完全闭塞病变行PCI的相关临床证据,分析冠状动脉慢性完全闭塞病变行PCI的获益和风险,以期为临床医生应用PCI治疗冠状动脉慢性完全闭塞病变提供理论基础。

In recent years,with the improvement of equipment and technology and the accumulation of operational experience,the rapid development of percutaneous coronary intervention for chronic total occlusion has been achieved.However,unsuccessful revascularization is associated with poor major adverse cardiovascular events,making chronic total occlusion still one of the greatest challenges for interventional cardiologists.This review aims to analyze the benefits and risks of percutaneous coronary intervention of chronic total occlusion by reviewing previous clinical evidence,in order to provide a theoretical basis for guiding clinicians.