CTO介入治疗中常见问题.pptVIP

CTO介入治疗中的常见问题;CTO介入治疗;CTO介入治疗：我们存在的问题;CTO介入治疗：我们存在的问题;对现代CTO介入技术缺乏系统了解;CTO介入治疗：我们存在的问题;对影像学资料收集不够详细;CTO介入治疗：我们存在的问题;缺乏周密手术计划;CTO介入治疗：我们存在的问题;不重视对侧造影的重要性;CTO介入治疗：我们存在的问题;不会应用平行导丝（双导丝）技术;CTO介入治疗：我们存在的问题;重视“手感”、轻视“方向”;CTO介入治疗：我们存在的问题;对进入假腔缺乏判断;CTO介入治疗：我们存在的问题;术中没有保持足够的警觉性;CTO介入治疗：我们存在的问题;缺乏必要的器械;CTO介入治疗：我们存在的问题;CTO介入策略;如何成为“高手”;CTO介入并发症的防治;Reversal of heparin -1mg of protamine for every 25 units of heparin given in the previous 4 hours -maximum 25-50mg -IV over 10-30min until ACT150 sec. Prolong balloon inflation @ low pressure for 15min or much more. Pericardiocentesis Cover stent Distal micro embolization -coil or fat tissue -blood clot? -aspiration from micro catheter at the wedge position close to perforation site ;Dissection of a collateral pathway Perforation of a collateral channel -hematoma -perforate into a ventricle -pericardial effusion/cardiac temponade Donor artery ischemia cause by -deep engage GC -proximal vessel disease -dissection -thrombosis ;Check the position of GC keep BP monitoring Check ACT once a hour Frequent flush the GC Stent the borderline lesions in the proximal segment of donor artery ;Myocardial Ischemia -collateral branch damage -spasm Aortoiliac -aortic root dissection -perforation of the sinus -peripheral hematoma bleeding Device -guide wire fracture with entrapment -balloon fracture Others -CIN/immoderate irradiation/ stroke ;