在伴有腔内血栓的颈内动脉狭窄病变进行紧急颈动脉支架置入术时的串联球囊保护。
Tandem balloon protection during emergency carotid artery stenting of a stenotic ICA lesion with intraluminal thrombus.
作者信息
Imai Keisuke, Makino Masahiro, Niwa Fumitoshi, Takegami Tetsuro, Koike Hironori, Azuma Yumiko, Oshima Fumiko, Oda Kenichiro, Kakita Kiyohito
机构信息
Department of Emergency Medicine, Acute Stroke Center, Kyoto First Red Cross Hospital, Higashiyama, Kyoto, Japan.
出版信息
J Endovasc Ther. 2007 Apr;14(2):214-8. doi: 10.1177/152660280701400214.
PURPOSE
To report a technique for emergency CAS of a stenotic internal carotid artery (ICA) lesion with an intraluminal thrombus, which predisposes to distal thromboembolism and could aggravate pre-existing neurological symptoms.
CASE REPORT
A 77-year-old man with fluctuating stroke underwent successful emergency CAS for an ICA stenosis with intraluminal thrombus using a tandem balloon protection technique featuring proximal balloon blockade and a PercuSurge GuardWire system for distal protection.
CONCLUSION
This experience suggests that emergency CAS with tandem balloon protection is a potential treatment for a stenotic lesion with an intraluminal thrombus in patients with fluctuating stroke.
目的
报告一种用于伴有腔内血栓的颈内动脉（ICA）狭窄病变的紧急颈动脉支架置入术（CAS）技术，该病变易引发远端血栓栓塞并可能加重已有的神经症状。
病例报告
一名患有波动性中风的77岁男性，采用串联球囊保护技术（近端球囊阻断和用于远端保护的PercuSurge GuardWire系统），成功地对伴有腔内血栓的ICA狭窄进行了紧急CAS。
结论
该经验表明，对于患有波动性中风的患者，采用串联球囊保护的紧急CAS是治疗伴有腔内血栓的狭窄病变的一种潜在方法。
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