Tom 13, Nr 4 (2018)
PRZEWLEKŁE OKLUZJE WIEŃCOWE
Opublikowany online: 2018-09-11
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Rekanalizacja CTO RCA u chorej po CABG — czy nie można było wcześniej?
Kardiol Inwazyjna 2018;13(4):21-24.
Streszczenie
The complexity of the procedures for chronic coronary artery occlusions (CTO) recanalization discourages many operators from taking on the challenge of treating symptomatic patients with CTO. The extended time of the procedure, the uncertainty of the final success, the issues of equipment, contrast agent and potential complications are usually enough to disqualification patients from the PCI and treat it pharmacologically. An increasing number of CTO operators are trying to propagate knowledge among people unwilling to submit these complex procedures by presenting guidelines of global cardiology societies, data from randomized trials and registries, casebycase presentations in order to give a chance for patients with the most advanced form of coronary heart disease. The following description of the case of recanalization of the right coronary artery, technically simple and feasible by an experienced PCI operator, but the path to alleviate angina symptoms in this patient was as winding as the “corkscrew” passage through epicardial collaterals.
Słowa kluczowe: przewlekłe zamknięcie tętnicy wieńcowejzabieg rekanalizacji wstecznejokluzja w stencie
Referencje
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