使用颈动脉支架置入术治疗活动漂浮性颈动脉斑块
Management of mobile floating carotid plaque using carotid artery stenting.
作者信息
Chakhtoura Elie Y, Goldstein Jonathan E, Hobson Robert W
机构信息
Division of Cardiology, St. Michael's Medical Center, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, New Jersey, USA.
出版信息
J Endovasc Ther. 2003 Jun;10(3):653-6. doi: 10.1177/152660280301000336.
PURPOSE
To present management techniques for dealing with mobile floating carotid plaque (MFCP), which represents an indeterminate risk of embolic cerebrovascular events.
CASE REPORTS
Two high-risk patients with a history of carotid endarterectomy were diagnosed with MFCP by duplex ultrasound scanning. One patient had a left hemispheric transient ischemic attack while the other was asymptomatic with a moderate stenosis. Both were successfully treated with carotid artery stenting, achieving complete coverage of the MFCP. Their outcomes were uneventful, and sustained patency of the stented arteries has been observed during an event-free survival of 32 and 44 months, respectively.
CONCLUSIONS
Based upon the unique nature of these lesions and our satisfactory clinical results, we believe that carotid stenting may be a viable option for the treatment of MFCP.
目的
介绍处理可移动性漂浮颈动脉斑块（MFCP）的管理技术，该斑块代表着栓塞性脑血管事件的不确定风险。
病例报告
两名有颈动脉内膜切除术病史的高危患者经双功超声扫描诊断为MFCP。一名患者发生左侧半球短暂性脑缺血发作，另一名患者无症状但有中度狭窄。两人均成功接受颈动脉支架置入术，实现了对MFCP的完全覆盖。他们的预后良好，在分别为32个月和44个月的无事件生存期内观察到支架置入动脉持续通畅。
结论
基于这些病变的独特性质以及我们满意的临床结果，我们认为颈动脉支架置入术可能是治疗MFCP的可行选择。
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