颈内动脉血管成形术围手术期栓塞事件的洞察。4例报告及文献综述。
Insight into the periprocedural embolic events of internal carotid artery angioplasty. A report of four cases and literature review.
作者信息
Jiang L, Ling F, Wang B, Miao Zhongrong
机构信息
Department of Neurosurgery, Xuanwu hospital, Capital Medical University, Beijing, China.
出版信息
Interv Neuroradiol. 2011 Dec;17(4):452-8. doi: 10.1177/159101991101700409. Epub 2011 Dec 16.
Abstract
Thromboembolism is a major risk of carotid angioplasty and stenting (CAS). Although the incidence of distal embolism has been documented by MRI and TCD studies, the mechanisms and management of this complication are rarely reported. Here we describe four patients with periprocedural embolic events to demonstrate the mechanisms of thromboembolism in CAS. Different remedies were applied to these patients according to the underlying mechanisms of thromboembolism and good clinical outcomes were achieved.
摘要
血栓栓塞是颈动脉血管成形术和支架置入术（CAS）的主要风险。尽管MRI和TCD研究已记录了远端栓塞的发生率，但这种并发症的机制和处理方法鲜有报道。在此，我们描述4例围手术期发生栓塞事件的患者，以阐述CAS中血栓栓塞的机制。根据血栓栓塞的潜在机制，对这些患者采用了不同的治疗方法，并取得了良好的临床效果。
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