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首页> 外文期刊>Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation >Development and first results of a?dedicated chronic total occlusion programme
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Development and first results of a?dedicated chronic total occlusion programme

机译：开发和第一个结果？专用的慢性总遮挡计划

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Objective To describe the development and first results of a dedicated chronic total occlusion (CTO) programme in a tertiary medical centre. Background Because of the complexity and the increased risk of complications during percutaneous coronary intervention (PCI) for CTO, it is essential that less experienced and evolving CTO centres perform regular quality analyses. Methods We therefore performed analyses to describe the results during the first 3 years of a dedicated CTO programme at a high-volume PCI centre. In addition, we discuss the strategies employed to develop such a programme. Results A total of 179 consecutive patients undergoing 187 CTO procedures were included in the study. The complexity of the CTO lesions increased from a mean J?CTO (Japanese Multicentre CTO Registry) score of 1.3 in 2015 to 2.1 in 2017. In the majority of cases, the antegrade wire escalation technique was performed. Final technical success rate was 78.5% in 175 patients with a single CTO and 80.2% of all 187 CTO procedures. No peri-procedural or in-hospital deaths occurred. One peri-procedural myocardial infarction occurred. Cardiac tamponade occurred in 2 cases, both managed by pericardiocentesis. No urgent cardiac surgery was necessary. Survival and revascularisation rates at 30 days and 1 year were excellent. Conclusion Following initiation of a dedicated CTO programme, using up-to-date techniques and strategies, procedural and clinical outcome were comparable with current standards in established centres.
机译：目的介绍在第三医疗中心的专用长期封闭（CTO）计划的发展和第一款结果。背景技术由于CTO经皮冠状动脉干预（PCI）在经皮冠状动脉干预（PCI）中的复杂性增加，因此必须更少经验丰富和不断发展的CTO中心进行定期的质量分析。因此，我们进行了分析来描述在大容量PCI中心专用CTO计划的前3年期间的结果。此外，我们讨论了开展此类计划的策略。结果共有179名正在进行187年CTO程序的连续患者。 CTO病变的复杂性从平均值J？CTO（日本Multicentre CTO登记处）2015年的CTO（日本MultiCerre CTO注册处）增加到2017年至2.1。在大多数情况下，进行了行动升级技术。 175名患者中最终的技术成功率为78.5％，单一的CTO和所有187年CTO程序的80.2％。没有发生围手术或医院死亡。发生了一种Peri-properationaly心肌梗死。心脏棉纸发生在两种情况下发生，两种情况下，既由心包治愈。没有必要紧急的心脏手术。 30天和1年的存活率和血血管异教率优异。结论在启动专门的CTO计划后，利用最新的技术和策略，程序和临床结果与既定中心的当前标准相当。

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