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使用 FilterWire EX 进行颈动脉支架置入术后的假性无复流现象：抽吸血栓切除术成功恢复。

Pseudo-no-reflow phenomenon in carotid artery stenting using FilterWire EX: successful recovery by aspiration thrombectomy.

机构信息

Division of Cardiology, Heart Center, Gil Hospital Gachon University of Medicine and Science Incheon, Korea.

出版信息

J Korean Med Sci. 2009 Oct;24(5):967-9. doi: 10.3346/jkms.2009.24.5.967. Epub 2009 Sep 24.

DOI:10.3346/jkms.2009.24.5.967
PMID:19795002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2752787/
Abstract

Distal protection devices such as FilterWire EX have been widely used in carotid artery stenting, however, the large amount of atherothrombotic debris entrapped in the filter could reduce or stop antegrade flow. We present a case of pseudo-no-reflow phenomenon after postdilatation of the stent in a patient with asymptomatic carotid artery stenosis. After several passes using an Export Aspiration catheter, normal flow in the internal carotid artery was restored. Aspiration thrombectomy can successfully recover pseudo-no-reflow phenomenon.

摘要

远端保护装置（如 FilterWire EX）已广泛应用于颈动脉支架置入术，然而，过滤器中捕获的大量动脉粥样血栓碎片可能会减少或阻断前向血流。我们报告了一例无症状性颈动脉狭窄患者支架后扩张后出现假性无复流现象的病例。使用 Export Aspiration 导管进行数次抽吸后，颈内动脉恢复正常血流。抽吸血栓切除术可成功恢复假性无复流现象。

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本文引用的文献

1
Pseudo-no-reflow phenomenon in ostial saphenous vein graft intervention using FilterWire EX protection.
Int J Cardiol. 2005 Sep 30;104(2):233-4. doi: 10.1016/j.ijcard.2004.10.063.
2
Embolic protection devices: methods, techniques, and data.
Tech Vasc Interv Radiol. 2004 Dec;7(4):190-3. doi: 10.1053/j.tvir.2005.03.008.
3
Routine use of cerebral protection during carotid artery stenting: results of a multicenter registry of 753 patients.颈动脉支架置入术中脑保护的常规应用：753例患者的多中心登记研究结果
Am J Med. 2004 Feb 15;116(4):217-22. doi: 10.1016/j.amjmed.2003.09.043.
4
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.
5
The carotid bifurcation plaque: pathologic findings associated with cerebral ischemia.颈动脉分叉处斑块：与脑缺血相关的病理 findings
Stroke. 1979 May-Jun;10(3):238-45. doi: 10.1161/01.str.10.3.238.