期刊
CURRENT CARDIOLOGY REVIEWS
卷 10, 期 2, 页码 99-107出版社
BENTHAM SCIENCE PUBL LTD
DOI: 10.2174/1573403X10666140331142349
关键词
Angioplasty; chronic total occlusion; collateral; pathophysiology
Chronic total occlusion (CTO) pathophysiology has been described in a few, small studies using post mortem histology, and more recently, in vivo intravascular ultrasound (IVUS) to analyse the constituents of occluded segments. Recent improvements in equipment and techniques have revealed new insights into physical characteristics of occluded coronaries, which in turn enable predictable procedural success. The purpose of this review is to consider the published evidence describing CTO pathophysiology from the perspective of the hybrid algorithm approach to CTO PCI. Methods: Literature searches using Chronic Occlusion, angioplasty, and pathology as keywords. Further searches on coronary collateral, Viability. Bibliographies were scrutinised for further key publications in an iterative process. Papers describing animal models were excluded.
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