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[颈动脉支架中的远端保护装置]

[Distal protection devices in carotid stent].

作者信息

Berkefeld J, du Mesnil de Rochemont R, Sitzer M, Zanella F E

机构信息

Institut für Neuroradiologie, Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt am Main.

出版信息

Radiologe. 2004 Oct;44(10):991-7. doi: 10.1007/s00117-004-1105-x.

DOI:10.1007/s00117-004-1105-x
PMID:15549222
Abstract

Endovascular treatment of carotid stenoses is increasingly used. Frequently temporary occlusion balloons or filters are placed distal to the stenosis to gain additional protection against cerebral emboli. There is still a scientific debate about the usefulness of such distal protection devices. The following contribution reviews existing techniques and their clinical results and should allow for a critical discussion and selection of current techniques and materials.

摘要

颈动脉狭窄的血管内治疗应用越来越广泛。通常会在狭窄远端放置临时闭塞球囊或过滤器,以增强对脑栓塞的保护。关于此类远端保护装置的效用仍存在科学争论。以下文稿回顾了现有技术及其临床结果,应有助于对当前技术和材料进行批判性讨论和选择。

相似文献

1
[Distal protection devices in carotid stent].[颈动脉支架中的远端保护装置]
Radiologe. 2004 Oct;44(10):991-7. doi: 10.1007/s00117-004-1105-x.
2
[Proximal protection systems using carotid artery stent].[使用颈动脉支架的近端保护系统]
Radiologe. 2004 Oct;44(10):998-1003. doi: 10.1007/s00117-004-1112-y.
3
[Cerebral protection devices for treatment of carotid stenoses: Where do we stand today?].[用于治疗颈动脉狭窄的脑保护装置:我们如今处于什么状况?]
Rofo. 2002 Aug;174(8):945-54. doi: 10.1055/s-2002-32934.
4
Significance of combining distal filter protection and a guiding catheter with temporary balloon occlusion for carotid artery stenting: clinical results and evaluation of debris capture.远端滤器保护联合引导导管与临时球囊阻断用于颈动脉支架置入术的意义:临床结果及碎片捕获评估
Ann Vasc Surg. 2012 Oct;26(7):929-36. doi: 10.1016/j.avsg.2012.04.022.
5
Dual cerebral protection technique during carotid stenting.颈动脉支架置入术中的双重脑保护技术
J Endovasc Ther. 2007 Feb;14(1):86-90. doi: 10.1583/06-1926.1.
6
Filter devices for cerebral protection during carotid angioplasty and stenting.颈动脉血管成形术和支架置入术中用于脑保护的过滤装置。
J Endovasc Ther. 2003 Dec;10(6):1039-45. doi: 10.1177/152660280301000603.
7
Distal filtration versus flow reversal: An ex vivo assessment of the choices for carotid embolic protection.远端过滤与血流逆转:颈动脉栓子保护选择的体外评估
J Vasc Surg. 2009 May;49(5):1181-8. doi: 10.1016/j.jvs.2008.12.028. Epub 2009 Feb 23.
8
"Seat belt and air bag" technique for cerebral protection during carotid stenting.颈动脉支架置入术中脑保护的“安全带与安全气囊”技术
J Endovasc Ther. 2002 Feb;9(1):20-4. doi: 10.1177/152660280200900104.
9
Combination of flow reversal and distal filter for cerebral protection during carotid artery stenting.颈动脉支架置入术中用于脑保护的血流逆转与远端滤器联合应用。
Ann Vasc Surg. 2014 Apr;28(3):651-8. doi: 10.1016/j.avsg.2013.04.032. Epub 2013 Dec 28.
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Carotid angioplasty stenting under protection: techniques, results, limitations (part 1).
Angiol Sosud Khir. 2005;11(4):51-63.

引用本文的文献

1
[Carotid artery stenosis: current state of therapy].[颈动脉狭窄:治疗现状]
Radiologe. 2010 Jul;50(7):614-22. doi: 10.1007/s00117-009-1934-8.
2
Diffusion-weighted MR imaging lesions after filter-protected stenting of high-grade symptomatic carotid artery stenoses.症状性重度颈动脉狭窄滤器保护支架置入术后的扩散加权磁共振成像病变
AJNR Am J Neuroradiol. 2006 Jun-Jul;27(6):1321-5.
3
[Stenting in acute stroke].[急性卒中的支架置入术]

本文引用的文献

1
Carotid artery stenting--evolution of a technique to rival carotid endarterectomy.
Am J Med. 2004 Feb 15;116(4):273-5. doi: 10.1016/j.amjmed.2003.12.017.
2
Critical analysis of distal protection devices.
Semin Vasc Surg. 2003 Dec;16(4):317-25. doi: 10.1053/j.semvascsurg.2003.08.010.
3
Updated review of the global carotid artery stent registry.全球颈动脉支架注册研究的更新综述。
Catheter Cardiovasc Interv. 2003 Oct;60(2):259-66. doi: 10.1002/ccd.10645.
4
Radiologe. 2005 May;45(5):461-5. doi: 10.1007/s00117-005-1204-3.
Editorial comment--Carotid artery stenting with or without protection devices? Strong opinions, poor evidence!
编者按——颈动脉支架置入术:使用或不使用保护装置?观点鲜明,证据不足!
Stroke. 2003 Aug;34(8):1941-3. doi: 10.1161/01.STR.0000080938.80364.75. Epub 2003 Jul 3.
5
Early outcome of carotid angioplasty and stenting with and without cerebral protection devices: a systematic review of the literature.使用和不使用脑保护装置的颈动脉血管成形术和支架置入术的早期结果:文献系统评价
Stroke. 2003 Mar;34(3):813-9. doi: 10.1161/01.STR.0000058160.53040.5F. Epub 2003 Feb 13.
6
Microembolization during carotid stenting with the distal-balloon antiemboli system.使用远端球囊抗栓系统进行颈动脉支架置入术时的微栓塞
Int Angiol. 2002 Dec;21(4):344-8.
7
Carotid artery stenting protected with an emboli containment system.使用栓子捕获系统保护的颈动脉支架置入术。
Stroke. 2002 May;33(5):1308-14. doi: 10.1161/01.str.0000013947.17575.b3.
8
Multicenter evaluation of carotid artery stenting with a filter protection system.采用滤器保护系统的颈动脉支架置入术的多中心评估
J Am Coll Cardiol. 2002 Mar 6;39(5):841-6. doi: 10.1016/s0735-1097(02)01692-3.
9
Cerebral protection during carotid artery stenting: collection and histopathologic analysis of embolized debris.颈动脉支架置入术中的脑保护:栓塞碎片的收集与组织病理学分析
Stroke. 2002 Feb;33(2):456-61. doi: 10.1161/hs0202.102337.
10
Clinical results of cerebral protection with a filter device during stent implantation of the carotid artery.颈动脉支架植入术中使用滤器装置进行脑保护的临床结果。
Cardiovasc Intervent Radiol. 2001 Jul-Aug;24(4):249-56. doi: 10.1007/s00270-001-0013-y.