[1]吴祥波,郑晗沛,聂创,等.血管内超声在颈动脉蹼诊疗中的应用[J].介入放射学杂志,2020,29(03):241-245.
 WU Xiangbo,ZHENG Hanpei,NIE Chuang,et al.The clinical application of intravascular ultrasound in diagnosing and treating carotid web[J].journal interventional radiology,2020,29(03):241-245.
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血管内超声在颈动脉蹼诊疗中的应用()

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

卷:
29
期数:
2020年03
页码:
241-245
栏目:
血管介入
出版日期:
2020-04-20

文章信息/Info

Title:
The clinical application of intravascular ultrasound in diagnosing and treating carotid web
作者:
吴祥波郑晗沛聂创孙冬徐海波梅斌
Author(s):
WU Xiangbo ZHENG Hanpei NIE Chuang SUN Dong XU Haibo MEI Bin.
Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province 430071, China
关键词:
【关键词】 血管内超声颈动脉蹼缺血性脑卒中颈动脉支架成形
文献标志码:
A
摘要:
【摘要】 目的?探讨血管内超声(IVUS)在颈动脉蹼诊断和治疗中的应用价值。方法?2019年1月武汉大学中南医院收治1 例男性29岁缺血性脑卒中患者,CTA和高分辨MRI证实右侧颈内动脉起始部颈动脉蹼,采用IVUS技术进一步评估颈动脉蹼形态特征、颈动脉血流状态,并指导支架成形术。 结果?术中IVUS 提示颈动脉蹼呈一与管壁相连的条带状低回声信号影,将管腔血流分隔,其后方血流瘀滞、对比剂滞留;虚拟组织学(VH)成像(iMap-IVUS)提示该结构以纤维组织成分为主,其背面可见部分坏死组织。支架植入术后IVUS、DSA提示支架贴壁良好,颈动脉蹼消失,未见血液湍流及对比剂滞留。结论?IVUS技术可对颈动脉蹼进行全面评估,在探索颈动脉蹼致脑卒中机制和指导介入治疗中起着重要作用。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2019-04-21)
(本文编辑:边?佶)
更新日期/Last Update: 2020-04-16