急性心肌梗死合并非梗死相关动脉慢性完全闭塞的研究进展
Research Progress in Acute Myocardial Infarction with Chronic Total Occlusive of Non-Infarct-Related Arteries
DOI: 10.12677/acm.2025.153862, PDF,   
作者: 周星波, 赵 倩:延安大学医学院,陕西 延安;孟 帅, 左 梅*:延安大学咸阳医院心血管内科,陕西 咸阳
关键词: 急性心肌梗死非梗死相关动脉慢性完全闭塞综述Acute Myocardial Infarction Non-Infarct-Related Arteries Chronic Total Occlusion Review
摘要: 在对急性心肌梗死患者行经皮冠状动脉介入治疗过程中,非梗死相关动脉的慢性完全闭塞是常见的合并症,这样的患者往往病情严重,给AMI患者的管理带来了极大的挑战。近年,随着技术的发展和手术水平的提高,我们对此类患者的诊疗有了新的认识。本文将对急性心肌梗死合并非梗死相关动脉慢性完全闭塞病变的人群特征、治疗策略、近远期预后和侧支循环等进行综述。
Abstract: Acute myocardial infarction (AMI) is a common emergency in cardiovascular medicine, and chronic total occlusion (CTO) of non-infarct-related arteries (non-IRA) is a common comorbidity during percutaneous coronary intervention (PCI) in patients with AMI. Such patients are often severely ill and pose a significant challenge to the management of AMI patients. In recent years, with the development of technology and the improvement of surgery, we have gained new insights into the management of such patients. In this article, we will review the population characteristics, treatment strategies, near and long term prognosis, and collateral circulation in AMI with non-IRA CTO.
文章引用:周星波, 赵倩, 孟帅, 左梅. 急性心肌梗死合并非梗死相关动脉慢性完全闭塞的研究进展[J]. 临床医学进展, 2025, 15(3): 2246-2255. https://doi.org/10.12677/acm.2025.153862

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