Patel Salil, Hermiller James
North East Florida Cardiovascular Center, Jacksonville, FL 32216, USA.
Expert Rev Med Devices. 2008 Jan;5(1):19-24. doi: 10.1586/17434440.5.1.19.
The field of interventional cardiology has grown dramatically over the past 30 years, including recent advances in the area of peripheral vascular intervention. The phenomenon of no-reflow, characterized by a reduction in coronary blood flow during vascular intervention, has been associated with adverse outcomes in both saphenous vein graft and carotid artery interventions. Distal embolic protection devices, such as the FilterWire EZ System, have been shown to reduce the incidence of no-reflow and adverse cardiac events in patients undergoing saphenous vein graft interventions. Recently approved indications for the FilterWire EZ System include carotid artery stenting. With the definite reduction in adverse events from the use of distal protection, future advancements will focus on improved deliverability of such devices.
在过去30年里,介入心脏病学领域取得了显著发展,包括外周血管介入领域的最新进展。无复流现象表现为血管介入过程中冠状动脉血流减少,已被证明与隐静脉移植和颈动脉介入的不良后果相关。远端栓塞保护装置,如FilterWire EZ系统,已被证明可降低接受隐静脉移植介入治疗患者的无复流发生率和不良心脏事件。FilterWire EZ系统最近获批的适应症包括颈动脉支架置入术。随着使用远端保护装置导致的不良事件明显减少,未来的进展将集中在提高此类装置的可输送性上。