[1]王春梅,隗立兵,宋礼坡,等.颈动脉支架植入术后管理 [J].介入放射学杂志,2021,30(01):92-96.
 WANG Chunmei,WEI Libin,SONG Lipo,et al.Postoperative management of carotid artery stenting[J].journal interventional radiology,2021,30(01):92-96.
点击复制

颈动脉支架植入术后管理


()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年01
页码:
92-96
栏目:
综述
出版日期:
2021-01-25

文章信息/Info

Title:
Postoperative management of carotid artery stenting
作者:
王春梅 隗立兵 宋礼坡 黄 莹 宁雅婵 张 建 吴英峰 郭连瑞 谷涌泉
Author(s):
WANG Chunmei WEI Libin SONG Lipo HUANG Ying NING Yachan ZHANG Jian WU Yingfeng GUO Lianrui GU Yongquan.
Department of Vascular Surgery & Institute of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
关键词:
【关键词】 颈动脉支架植入术血流动力学不稳定脑过度灌注综合征抗血小板治疗
文献标志码:
A
摘要:
【摘要】 颈动脉支架植入术(CAS)临床应用逐年增多,术后可能发生心脑血管事件甚至死亡,术后管理尤为重要。该文通过查阅近年来国内外文献并进行整理、分类、比较和分析,就CAS术后低血压控制目标与治疗管理,术后高血压和脑过度灌注综合征(CHS)处理,抗血小板药物、他汀类药物应用管理作一综述。术后密切监测,个体化维持血流动力学稳定,有效的抗血小板药物治疗和他汀类药物治疗是减少并发症发生的手段。

参考文献/References:

[1] Benjamin EJ, Virani SS, Callaway CW, et al. Heart disease and stroke statistics- 2018 update: a report from the American Heart Association[J]. Circulation, 2018, 137: e67- e492.
[2] 王陇德,刘建民,杨 弋,等. 《中国脑卒中防治报告2017》概要[J]. 中国脑血管病杂志, 2018, 15:611- 616.
[3] 赵 婉,韩如泉. 颈动脉狭窄手术及介入治疗的围术期管理[J]. 国际麻醉学与复苏杂志, 2015, 36:247- 251.
[4] Chen ZY, Mei L, Li MH, et al. Expansive arterial remodeling of carotid arteries in symptomatic ischemic patients[J]. J Intervent Med, 2018, 1: 82- 85.
[5] Park JH, Lee JH. Carotid artery stenting[J]. Korean Circ J, 2018, 48: 97- 113.
[6] Gaba K, Ringleb PA, Halliday A. Asymptomatic carotid stenosis: intervention or best medical therapy?[J]. Curr Neurol Neurosci Rep, 2018, 18: 1- 9.
[7] Lokuge K, Waard DD, Halliday A, et al. Meta- analysis of the procedural risks of carotid endarterectomy and carotid artery stenting over time[J]. J Vasc Surg, 2018, 67: 1934- 1935.
[8] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组,中华医学会神经病学分会神经血管介入协作. 中国缺血性脑血管病血管内介入诊疗指南2015[J]. 中华神经外科杂志, 2015, 48:830- 837
[9] Yang L, Liu JL, Qi GY, et al. The middle- term outcome of carotid endarterectomy and stenting for treatment of ischemic stroke in Chinese patients[J]. Sci Rep, 2018, 8: 1- 7.
[10] Aburahma AF. Predictors of perioperative stroke/death after carotid artery stenting: a review article[J]. Ann Vasc Dis, 2018, 11: 15- 24.
[11] Ullery BW, Nathan DP, Shang EK, et al. Incidence, predictors, and outcomes of hemodynamic instability following carotid angioplasty and stenting[J]. J Vasc Surg, 2013, 58: 917- 925.
[12] 隗立兵,王春梅,黄 莹,等. 颈动脉支架成形术后持续性低血压危险因素分析[J]. 介入放射学杂志, 2016, 25:651- 653.
[13] Mylonas SN, Moulakakis KG, Antonopoulos CN, et al. Carotid artery stenting- induced hemodynamic instability[J]. J Endovasc Ther, 2013, 20: 48- 60.
[14] Jeon JS, Seung HS, Hwang G. Hemodynamic instability during carotid angioplasty and stenting- relationship of calcified plaque and its characteristics[J]. Yonsei Med J, 2013, 54: 295- 300.
[15] Naylor AR, Ricco JB, de Borst GJ, et al. Editor’s choice - management of atherosclerotic carotid and vertebral artery disease: 2017 clinical practice guidelines of the European Society for Vascular Surgery(ESVS)[J]. Eur J Vasc Endovasc Surg, 2018, 55: 3- 81.
[16] Rubio G, Karwowski JK, Deamorim H, et al. Predicting factors associated with postoperative hypotension following carotid artery stenting[J]. Ann Vasc Surg, 2019, 54: 193- 199.
[17] Nandalur MR, Cooper H, Satler LF, et al. Vasopressor use in the critical care unit for treatment of persistent post- carotid artery stent induced hypotension[J]. Neurocrit Care ,2007,7:232- 237.
[18] Sharma S, Lardizabal JA, Bhambi B. Oral midodrine is effective for the treatment of hypotension associated with carotid artery stenting[J]. J Cardiovasc Pharmacol Ther, 2008, 13: 94- 97.
[19] 卫 杰,刘洁怡,耿昌明,等. 颈动脉支架成形术治疗重度颈动脉狭窄25例效果分析[J]. 介入放射学杂志, 2017, 26:359- 363.
[20] Huibers AE, Westerink J, de Vries EE, et al. Editor’s choice- cerebral hyperperfusion syndrome after carotid artery stenting: a systematic review and meta- analysis[J]. Eur J Vasc Endovasc Surg, 2018, 56: 322- 333.
[21] Kirchoff- Torres KF, Bakradze E. Cerebral hyperperfusion syndrome after carotid revascularization and acute ischemic stroke[J]. Curr Pain Headache Rep, 2018, 22: 24.
[22] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组,中华医学会神经病学分会神经血管介入协作组. 中国缺血性脑血管病血管内介入诊疗指南2015[J]. 中华神经外科杂志, 2015, 48:830- 837
[23] 姚 晔,王 巍,李 琼,等. 支架成形术治疗老年颈动脉狭窄效果及危险因素分析[J]. 介入放射学杂志, 2016, 25: 839- 842.
[24] Bouri S, Thapar A, Shalhoub J, et al. Hypertension and the post- carotid endarterectomy cerebral hyperperfusion syndrome[J]. Eur J Vasc Endovasc Surg, 2011, 41: 229- 237.
[25] Higashi E, Takeshi U, Mizokami T, et al. Reversible cerebral vasoconstriction complicated with brain infarction immediately after carotid artery stenting[J]. Interv Neuroradiol, 2018, 24: 688- 692.
[26] Pennekamp CW, Immink RV, den Ruijter HM, et al. Near- infrared spectroscopy can predict the onset of cerebral hyperperfusion syndrome after carotid endarterectomy[J]. Cerebrovasc Dis, 2012, 34: 314- 321.
[27] Cheng XQ, Tian JM, Zuo CJ, et al. Quantitative perfusion computed tomography measurements of cerebral hemodynamics: correlation with digital subtraction angiography identified primary and secondary cerebral collaterals in internal carotid artery occlusive disease[J]. Eur J Radiol, 2012, 81: 1224- 1230.
[28] Farooq MU, Goshgarian C, Min J, et al. Pathophysiology and management of reperfusion injury and hyperperfusion syndrome after carotid endarterectomy and carotid artery stenting[J]. Exp Transl Stroke Med, 2016, 8: 7.
[29] van Mook WN, Rennenberg RJ, Schurink GW, et al. Cerebral hyperperfusion syndrome[J]. Lancet Neurol, 2005, 4: 877- 888.
[30] Gensicke H, van der Worp HB, Nederkoorn PJ,et al. Ischemic brain lesions after carotid artery stenting increase future cerebro- vascular risk[J]. J Am Coll Cardiol, 2015, 65:521- 529
[31] Ayad SW. Aspiration versus no aspiration during primary PCI for ST- segment elevation myocardial infarction[J]. Egypt Heart J, 2016, 68: 147- 152.
[32] 谭知零. 冠心病PCI患者服用双联抗血小板药物后氯吡格雷抵抗的发生情况及危险因素分析[J]. 解放军医药杂志, 2018, 30:75- 78.
[33] Duconge J, Hernandez- Suarez DF. Potential usefulness of clopidogrel pharmacogenetics in cerebral endovascular procedures and carotid artery stenting[J]. Curr Clin Pharmacol, 2017, 12: 11- 17.
[34] 张 倩,王 媛,丁建平,等. CYP2C19基因多态性与氯吡格雷疗效的相关性研究[J]. 北京医学, 2017, 39:450- 454.
[35] 程秀丽,张 飚 .血小板功能检测及其临床应用[J]. 国际检验医学杂志, 2018, 39:1363- 1367.
[36] Rizwan M, Faateh M, Dakour- Aridi H, et al. Statins reduce mortality and failure to rescue after carotid artery stenting[J]. J Vasc Surg, 2019, 69: 112- 119.
[37] Tendera M, Aboyans V, Bartelink ML, et al. ESC guidelines on the diagnosis and treatment of peripheral artery diseases: the task force on the diagnosis and treatment of peripheral artery diseases of the European Society of Cardiology(ESC)[J]. Eur Heart J, 2011, 32: 2851- 2906.
[38] Hussain MA ,Saposnik G, Raju S,et al. Association between statin use and cardiovascular events after carotid artery revascu-larization[J]. J Am Heart Assoc, 2018, 7:e009745

相似文献/References:

[1]余雪渊,王春梅,张 帆,等.颈动脉支架植入术后低血压危险因素分析[J].介入放射学杂志,2022,31(04):394.
 YU Xueyuan,WANG Chunmei,ZHANG Fan,et al.Analysis of risk factors for hypotension occurring after carotid artery stenting[J].journal interventional radiology,2022,31(01):394.

备注/Memo

备注/Memo:
(收稿日期:2019- 02- 25)
(本文编辑:边 佶)
更新日期/Last Update: 2021-01-25