颈动脉内膜切除术联合支架取出术治疗支架内再狭窄：一种安全、可行且有效的技术。
Carotid endarterectomy with stent removal in management of in-stent restenosis: a safe, feasible, and effective technique.
机构信息
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
出版信息
Eur J Vasc Endovasc Surg. 2014 Jan;47(1):8-12. doi: 10.1016/j.ejvs.2013.10.011. Epub 2013 Oct 22.
INTRODUCTION
The optimal treatment of in-stent restenosis (ISR) is not determined. We describe the efficacy of carotid endarterectomy (CEA) with stent removal in the management of symptomatic ISR.
METHODS
A 72-year-old man presented with recurrent right limb weakness 8 months after carotid artery stenting. Digital substraction angiography showed severe ISR (almost 99%). CEA with stent removal was performed.
RESULTS
A total of 41 cases was reviewed: periarterial inflammation was shown in 10.3% of patients; 92.9% had clear intima-media plane; and 85.4% had a good outcome. All patients remained stable at follow-up.
DISCUSSION
CEA with stent removal appears to be a safe, feasible, effective, and durable therapeutic option.
简介
支架内再狭窄（ISR）的最佳治疗方法尚未确定。我们描述了颈动脉内膜切除术（CEA）联合支架取出术治疗症状性 ISR 的疗效。
方法
一名 72 岁男性在颈动脉支架置入术后 8 个月出现右侧肢体无力复发。数字减影血管造影显示严重的 ISR（接近 99%）。行 CEA 联合支架取出术。
结果
共回顾了 41 例患者：10.3%的患者存在动脉周围炎症；92.9%的患者内膜-中膜层面清晰可见；85.4%的患者预后良好。所有患者在随访中均保持稳定。
讨论
CEA 联合支架取出术似乎是一种安全、可行、有效且持久的治疗选择。
Zotero 插件