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Technisches Rüstzeug für chronisch verschlossene Gefäße

Technical armamentarium for chronic total occlusion of coronary vessels

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Zusammenfassung

Die perkutane Revaskularisation von chronisch verschlossenen Koronarien stellt seit jeher eine große Herausforderung für die interventionelle Kardiologie dar. In den letzten Jahrzenten wurde eine Vielzahl an Anstrengungen unternommen, um die Revaskularisationsstrategien für chronisch verschlossene Koronarien zu standardisieren. Diese Bestrebungen sind v. a. in dem steigenden Interesse der verschiedenen kardiologischen Fachgesellschaften an dieser Patientengruppe, in der zunehmenden Erfahrung der Interventionalisten und in der fortwährenden Entwicklung des technischen Instrumentariums und von endovaskulären Unterstützungstechnologien begründet. Diese Übersichtsarbeit beleuchtet die aktuell zur Verfügung stehenden Hilfsmittel sowie Technologien, Techniken und Strategien zur perkutanen Rekanalisation von chronisch verschlossenen Koronarien.

Abstract

Percutaneous revascularization of chronic total occlusion (CTO) of coronary vessels represents a major challenge for contemporary interventional cardiologists. In the last decade there has been an unprecedented effort towards the standardization of revascularization procedures for CTO of coronary vessels. This endeavour has been possible by virtue of the growing interest of various cardiological societies for this patient group. Along with supportive endovascular technologies and percutaneous devices specifically dedicated to this interventional target, the increasing experience of interventionalists enabled continuously growing success for revascularization of CTO of coronary vessels. This review article highlights the currently available tools as well as technologies, techniques and strategies for the percutaneous recanalization of CTO of coronary vessels.

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Authors and Affiliations

  1. Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technische Universität München, Lazarettstraße 36, München, Deutschland

    F. Voll MD, C. Kuna MD, S. Kufner MD & S. Cassese MD, PhD

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  1. F. Voll MD
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  2. C. Kuna MD
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  3. S. Kufner MD
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  4. S. Cassese MD, PhD
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Correspondence to S. Cassese MD, PhD.

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F. Voll, C. Kuna, S. Kufner und S. Cassese geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Voll, F., Kuna, C., Kufner, S. et al. Technisches Rüstzeug für chronisch verschlossene Gefäße. Herz 46, 406–418 (2021). https://doi.org/10.1007/s00059-021-05053-y

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