[1]刘永晟,王 峰,李 克,等. MO.MA球囊保护下近闭塞颈动脉支架成形术的临床研究[J].介入放射学杂志,2012,(06):447-450.
 LIU Yong- sheng,WANG Feng,LI Ke,et al. Stenting angioplasty with the help of MO.MA proximal cerebral protection device for the treatment of nearly?蛳occluded carotid artery: a clinical study[J].journal interventional radiology,2012,(06):447-450.
点击复制

 MO.MA球囊保护下近闭塞颈动脉支架成形术的临床研究 ()

PDF下载中关闭

分享到:

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

卷:
期数:
2012年06期
页码:
447-450
栏目:
神经介入
出版日期:
2012-06-30

文章信息/Info

Title:
 Stenting angioplasty with the help of MO.MA proximal cerebral protection device for the treatment of nearly?蛳occluded carotid artery: a clinical study
作者:
 刘永晟 王 峰 李 克 纪东华 李 城 刘剑飞
Author(s):
 LIU Yong- sheng WANG Feng LI Ke JI Dong- hua LI Cheng LIU Jian-fei
 Department of Interventional Radiology, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
关键词:
 【关键词】 脑卒中 颈动脉狭窄 支架 脑保护装置
文献标志码:
A
摘要:
 【摘要】 目的 研究MO.MA球囊保护下颈动脉支架成形术(CAS)治疗近闭塞颈动脉的安全性、可行性及疗效。方法 2006年至2010年,共收治14例近闭塞颈动脉患者,狭窄程度95%~99%,所有病例可见侧支代偿。其中表现为短暂性脑缺血发作(TIA)者11例,表现为脑血栓形成者3例。所有患者均在MO.MA球囊保护下行CAS。对手术成功率、围手术期并发症、随访结果进行分析。结果 手术成功率为100%。围手术期并发症2例,术中出现TIA发作,2 h后恢复正常。对患者进行随访3~30个月,平均(10.7±7.7)个月。4例行CTA或DSA随访,无再狭窄发生,无病变侧颈动脉脑卒中发生。结论 MO.MA球囊保护下CAS治疗近闭塞颈动脉安全、有效,无法耐受颈动脉血流阻断是主要的风险。

参考文献/References:

 [1]   Brott TG, Hobson RW 2nd, Howard G, et al. Stenting versus endarterectomy for treatment of carotid?蛳artery stenosis[J]. N Engl J Med, 2010, 363: 11?蛳23.
[2]  Yadav JS, Wholey MH, Kuntz RE, et al. Prote?蛳 cted carotid?蛳artery stenting versus endarterectomy in high?蛳risk patients[J]. N Engl J Med, 2004, 351: 1493 ?蛳 1501.
[3]   North American Symptomatic Carotid Endarterectomy Trial Steering Committee.North American Symptomatic Carotid Endarterectomy Trial. Methods, patient characteristics,and progress[J]. Stroke, 1991, 22: 711 ?蛳 720.
[4]   焦力群, 李慎茂, 李   萌, 等. 支架成形术治疗颈动脉狭窄的脑血流定量评价[J]. 介入放射学杂志, 2007, 16: 295 ?蛳 298.
[5]   洪   波, 刘建民, 许   奕, 等. 过滤伞保护下的颈动脉狭窄支架成形术[J]. 中华放射学杂志,2004, 38: 45 ?蛳 47.
[6]   Schmidt A, Diederich KW, Scheinert S, et al. Effect of two different neuroprotection systems on microembolization during carotid artery stenting[J]. J Am Coll Cardiol, 2004, 44: 1966 ?蛳 1969.
[7]   Ansel GM, Hopkins LN, Jaff MR, et al. Safety and effectiveness of the INVATEC MO.Ma proximal cerebral protection device during carotid artery stenting: results from the ARMOUR pivotal trial[J]. Catheter Cardiovasc Interv, 2010, 76: 1 ?蛳 8.
[8]   Reimers B, Sievert H, Schuler GC, et al. Proximal endovascular flow blockage for cerebral protection during carotid artery stenting: results from a prospective multicenter registry[J]. J Endovasc Ther, 2005, 12: 156 ?蛳 165.
[9]   Lee DH, Gao FQ, Rankin RN, et al. Duplex and color Doppler flow sonography of occlusion and near occlusion of the carotid artery[J]. Am J Neuroradiol, 1996, 17: 1267 ?蛳 1274.
[10] Fox AJ, Eliasziw M, Rothwell PM, et al. Identification, prognosis, and management of patients with carotid artery near occlusion[J]. Am J Neuroradiol, 2005, 26: 2086 ?蛳 2094.
[11] González A, Gil?蛳Peralta A, Mayol A, et al. Internal carotid artery stenting in patients with near occlusion: 30?蛳 day and long?蛳term outcome[J]. Am J Neuroradiol, 2011, 32: 252 ?蛳 258.
[12] Fox AJ. How to measure carotid stenosis[J]. Radiology, 1993, 186: 316-318.
[13] Morgenstern LB, Fox AJ, Sharpe BL, et al. The risks and benefits of carotid endarterectomy in patients with near occlusion of the carotid artery. North American Symptomatic Carotid Endarterectomy Trial (NASCET)Group. [J]. Neurology, 1997, 48: 911–915.
[14]  Choi BS, Park JW, Shin JE, et al. Outcome evaluation of carotid stenting in high?蛳 risk patients with symptomatic carotid near occlusion[J]. Interv Neuroradiol, 2010, 16: 309 ?蛳 316.
[15] Grunwald IQ, Papanagiotou P, Reith W, et al. Influence of carotid artery stenting on cognitive function[J]. Neuroradiology, 2010, 52: 61 ?蛳 66.
[16] Keldahl ML, Phade SV, Eskandari MK. Carotid artery stenting using proximal balloon occlusion embolic protection[J]. Perspect  Vasc Surg Endovasc Ther, 2010, 22: 187-193.
 [17] 李慎茂, 缪中荣, 朱凤水, 等. 颈动脉支架治疗颈动脉狭窄的并发症[J]. 介入放射学杂志, 2007, 16: 291 -294.

相似文献/References:

[1].Spontaneous regression of a giant basilar artery aneurysm in a young adult after surgical injury :case report and literature review[J].介入放射学杂志,2007,(10):718.
 ZHANG He,LI Ming-hua,WANG Chun,et al.Spontaneous regression of a giant basilar artery aneurysm in a young adult after surgical injury :case report and literature review[J].journal interventional radiology,2007,(06):718.
[2]李统怀,郑红枫. 子宫动脉栓塞治疗子宫瘢痕妊娠11例[J].介入放射学杂志,2011,(11):898.
 LI Tong-huai,ZHENG Hong-feng..Clinical application of uterine artery embolization in treating uterine scar pregnancy[J].journal interventional radiology,2011,(06):898.
[3]吕维富,张爱武,周春泽,等. 子宫动脉的三维DSA表现及其最佳显示体位探讨[J].介入放射学杂志,2011,(11):853.
 LV Wei-fu,ZHANG Ai-wu,ZHOU Chun-ze,et al.3D-DSA findings of uterine artery and its optimal projection position[J].journal interventional radiology,2011,(06):853.
[4]张 靖,周少毅,陈昆山,等.经导管动脉硬化栓塞联合注射硬化治疗婴儿颌面部巨大高流量血管瘤[J].介入放射学杂志,2011,(11):848.
 ZHANG Jing,ZHOU Shao-yi,CHEN Kun-shan,et al.Transcatheter arterial sclerosing embolization with injection sclerotherapy for the treatment of huge and high-flow maxillofacial hemangiomas in infants[J].journal interventional radiology,2011,(06):848.
[5]谢小西,吕银祥,章宏欣,等. 肝动脉化疗栓塞、射频消融联合125Ⅰ粒子植入 治疗原发性肝癌的临床应用[J].介入放射学杂志,2011,(11):863.
 XIE Xiao-xi,LV Yin-xiang,ZHANG Hong-xin,et al.The clinical application of TACE together with RFA and 125Ⅰ seed implantation in treating hepatocellular carcinoma[J].journal interventional radiology,2011,(06):863.
[6]王铭义,王 峰. 脑灌注成像在颈动脉狭窄介入治疗中的应用[J].介入放射学杂志,2011,(11):915.
 WANG Ming-yi,WANG Feng..Application of brain perfusion imaging in interventional treatment of carotid artery stenosis[J].journal interventional radiology,2011,(06):915.
[7]杜 猛,张锦生. 介入治疗急性深静脉血栓的临床观察[J].介入放射学杂志,2011,(11):858.
 DU Meng,ZHANG Jing-sheng..Interventional therapy for acute deep venous thrombosis: a clinical observation[J].journal interventional radiology,2011,(06):858.
[8]孟庆娜,李国庆,白晓冬. 急性心肌梗死介入治疗术中恶心呕吐的护理[J].介入放射学杂志,2011,(11):913.
 MENG Qing-na,LI Guo-qing,BAI Xiao-dong..The nursing care of nausea and vomiting occurred in interventional treatment for acute myocardial infarction[J].journal interventional radiology,2011,(06):913.
[9]王海亭,蒋忠仆,周 毅,等. 透视引导下鱼肝油酸钠泡沫硬化剂治疗下肢静脉曲张30例[J].介入放射学杂志,2011,(11):905.
 WANG Hai-ting,JIANG Zhong-pu,ZHOU Yi,et al.Fluoroscopically-guided foam sclerotherapy with sodium morrhuate for the treatment of lower extremity varices[J].journal interventional radiology,2011,(06):905.
[10]杜 鲲,管 生,胡小波,等. 原发性肝癌TACE术后完全缓解病灶磁共振 ADC值可重复性及一致性研究[J].介入放射学杂志,2011,(11):867.
 DU Kun,GUAN Sheng,HU Xiao-bo,et al.Magnetic resonance apparent diffusion coefficient values of the completely remitted lesions of primary hepatocellular carcinoma after TACE: a study of their repeatability and consistency[J].journal interventional radiology,2011,(06):867.
[11]郭新宾,陈 振,王子博,等. 急诊血管成形及支架植入术治疗急性 大脑中动脉闭塞[J].介入放射学杂志,2012,(10):802.
 GUO Xin- bin,CHEN Zhen,WANG Zi- bo,et al. Emergency angioplasty and stent placement for the treatment of acute middle cerebral artery occlusion[J].journal interventional radiology,2012,(06):802.
[12]张 冰,王亚仙,茹立新,等. 椎-基底动脉夹层的诊断和治疗策略选择[J].介入放射学杂志,2013,(05):358.
 ZHANG Bing,WANG Ya? xian,RU Li? xin,et al. The diagnosis and therapeutic strategy of vertebobasilar artery dissection[J].journal interventional radiology,2013,(06):358.

备注/Memo

备注/Memo:
 (收稿日期:2011?鄄11?鄄20)
更新日期/Last Update: