冠状动脉慢性完全闭塞病变经皮冠状动脉介入治疗评分系统的研究进展

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Scoring Systems for Percutaneous Coronary Intervention of Coronary Artery Chronic Total Occlusion

LIU Hongyang，GU Yang，ZHANG Xiwen

（Departmentof Cardiology，The Afliated Huai’an No.1 People's Hospitalof Nanjing Medical University，Huai’an

223300，Jiangsu，China）

【Abstract】Percutaneouscoronaryintervention（PCI）forcoronaryarterychronictotalolusion（CTO）istechnicallycomplexand urgentlyequireastandardedscoingsystemtogudeclinicaldecisiomakingisarticlesystematicallanalyzes3OCsoing systems，withthefolowingkeyfindings：（1）Angiography-basedscores（suchasJ-CTOandPROGRESSCTO）areoperatioaly straightforward（AUCofO.71～0.76）yettheirpredictiveperfomanceinChinesepopulationsislimited（suchasJ-CTOAUCdecreasedto 0.64inChinesevalidatio）;（2）Coronaryarterycomputedtomogaphangigraph-basedscores（suchasDL-CTO）significantlprove predictiveaccoghiesalalalyisU.9）speallablefghalatoula butitsappcatrelisodvaedqupnt;（3）Functoalandspecialdors（suchsQFR-OndI-CTO）ofernoelsfor prognosispredictiotnralllackquantificationforatorexperee.Acodingly，issdyropssasagedcliicapathay： preoperativepidoryteyutedagasedosaopatidti angiograpy-bdsdstoatielgosistusgteasdEOoFuturesoud focusonintegratingmultimodaldataandatificial intellgence technologies toadvancetheprecisionofCTOintervention.

Keywords】 Chronic total occlusion;Percutaneous coronary intervention;Scoring system

慢性完全闭塞病变（chronictotalocclusion，CTO）是经皮冠状动脉介人治疗（percutaneouscoronaryintervention，PCI）领域最复杂的挑战之一，约占行冠状动脉造影（coronaryangiography，CAG）患者的 15% 一25%[1-2] 。（剩余12127字）