对比剂在CTO病变介入治疗中的注意事项

Advances in Cardiovascular Diseases(2017)

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Abstract
随着经皮冠状动脉介入术(PCI)技术的发展,含碘对比荆的使用越来越广泛,其安全性也日益受到关注.冠状动脉慢性完全闭塞(chronic total occlusion,CTO)病变约占全部冠状动脉造影阳性病例的1/3,被称为PCI“未被攻破的最后堡垒”.由于CTO病变PCI用时较长,对比裁用量大,由此导致的对比剂相关并发症风险明显高于非CTO病变,一定程度上影响着CTO病变介入治疗的总体效果.因此,对比剂的合理应用是CTO病变介入治疗的重要考量.现通过结合临床、查阅文献,探讨对比剂在CTO病变介入治疗中的注意事项,希望对CTO病变中对比剂的合理使用提供参考.
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Key words
Contrast agent,Coronary chronic total occlusion lesion,Contrast-induced nephropathy
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