边支球囊锚定技术与双球囊导丝切割技术开通球囊无法通过的冠状动脉慢性完全闭塞病变的.docVIP

边支球囊锚定技术与双球囊导丝切割技 术幵通球囊无法通过的冠状动脉慢性完 全闭塞病变的对比研宄 王汝涛刘毅夏陈海高超第四军g大学西京 王汝涛 刘毅夏陈海高超 第四军 g大学西京 臺院心血管内科西安高新医院心 内科 B的对比分析边支球囊锚定技术与双球囊导丝切割技术开通球囊无法通过的冠 状动脉慢性完全闭塞病变（CTO）的临床效果。方法选取2016年8月至2017 年8月我院收治的40例球囊无法通过的CT0病变患者为研宄对象，随机分为球 囊锚定组（n=21）和球囊导丝切割组（n=19）。球囊锚定组患者给予边支球囊锚 定技术，球囊导丝切割组患者给予双球囊导丝切割技术。比较两组患者的手术结 果。结果球囊锚定组中，12例（57.1%）球囊通过成功;球囊导丝切割组中，16 例（84.2%）球囊通过成功;球囊锚定组的通过成功率明显高于球囊导丝切割组 （P〈0.05）。球囊锚定组9例患者给予球囊锚定技术后球囊仍无法通过，其中3 例患者继续使用球囊导丝切割技术，球囊成功通过CTO段。两组患者的并发症发 生率、手术时间、造影剂使用量、平均支架植入个数比较，差异无统计学意义 （P〉0.05）。结论在球囊无法通过CTO病变患者的治疗中，砬用双球囊导丝切割 技术安全且有效，可以考虑尝试应用于临床。 关键词: 边支球囊锚定技术;双球囊导丝切割技术;冠状动脉慢性完全闭塞; 王汝涛（1985-）,男，汉族，山东济南人，主治医师，硕士。研究 方向:冠心病的防治与介入。 高超， :charleygao@qq. com. 基金：W家自然科学基金青年项目（No. Comparison study of side branch anchor balloon technique and versus seesaw balloon-wire cutting technique in balloon un~crossable chronic total occlusions lesions WANG Ru-tao DAI Yi LIU Yi XIA Chen-hai GAO Chao Department of Cardiovascular Medicine, Xijing Hospital, the Fourth Military Medical University; Department of Cardiology, Xi’ an Gaoxin Hospital; Abstract： Objective To compare and analyze the clinical effects of side branch anchor balloon technique and versus seesaw balloon-wire cutting technique in balloon un-crossable chronic total occlusions lesions (CTO) . Methods Forty balloon tin-crossable CTO patients admitted in our hospital were selected and randomly divided into side branch anchor balloon group (n=21) and versus seesaw balloon-wire cutting group (n=19) . The side branch anchor balloon group received side branch anchor balloon technique, and the versus seesaw balloon-wire cutting group accepted versus seesaw balloon-wire cutting technique. The surgical results were compared between the two groups. Results In side branch anchor balloon group, 12 cases (57. 1%) balloon passed successfully, 16 cases (84. 2%) balloon passed successfully in versus seesaw balloon-wire cutting group, the balloon passed successfully rate of the versus seesaw balloon-wire cutting group was higher than t