Application of domestic snare in retrograde percutaneous coronary intervention for coronary chronic total occlusion lesions
10.3969/j.issn.1004-8812.2017.04.004
- VernacularTitle:国产单环网篮导丝在冠状动脉慢性完全闭塞病变逆向介入治疗中的应用
- Author:
Lin ZHAO
;
Zening JIN
;
Xiaojiang ZHANG
;
Dongfang HE
;
Yawei LUO
;
Xiantao SONG
;
Jinghua LIU
;
Chengjun GUO
;
Guihua LI
;
Lei WANG
;
Bing WANG
;
Shaoqing CHEN
;
Hongtao SUN
;
De LYU
- Keywords:
Chronic total occlusion;
Domestic snare;
Retrograde interventional therapy
- From:
Chinese Journal of Interventional Cardiology
2017;25(4):197-201
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficiency of domestic snare applied during retrograde percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) lesions.Methods A total of 27 patients who underwent retrograde PCI for CTO and used domestic snare during the procedure were enrolled in our study from March 2012 to November 2016.Clinical data, angiographic characteristics and PCI details were collected.Clinical data, characteristics of CTO lesion, effect of the domestic snare and snaring time were retrospectively analyzed.Special complications related to the domestic snare and major adverse cardiovascular events (MACE) were also documented.Results Domestic snare was used in all the procedures, which included facillitating the micro-catheter to pass through the CTO lesions in 6 patients and assisting the RG3/rotational guide-wire externalization in all the 27 patients.Mean snaring time was 3.5±5.4 minutes.Stents were successfully implanted in 26 patients except in 1 patient who failed to receive stent implantation for severe coronary calcification.No complications including coronary dissection, fracture of guide-wire and unreleased snare happened during the procedures and no MACE occurred during hospitalization.Conclusions Domestic snare facilitates retrograde micro-catheter crossing CTO lesions and retrograde guide-wire entering the guiding catheter and externalization.It is a simple, safe and efficient method.
