使用Wingspan支架对急性缺血性卒中患者的颈内动脉夹层进行血管内重建。
Endovascular reconstruction of internal carotid artery dissection in patients with acute ischemic stroke using the Wingspan stent.
作者信息
Murias Quintana Eduardo, Vega Valdés Pedro, Morales Deza Edison, Gil Garcia Alberto, Cuellar Saenz Hugo, Salgado Bernal Alba L, Cadenas Rodríguez María, Benavente Fernández Lorena, Delgado Montserrat González, Riesco Pérez Nuria, Larrosa Campo Davinia, Calleja Puerta Sergio
机构信息
Radiology and Interventional Neuroradiology, Hospital Universitario Central de Asturias, Asturias, Spain
Radiology and Interventional Neuroradiology, Hospital Universitario Central de Asturias, Asturias, Spain.
出版信息
Interv Neuroradiol. 2016 Dec;22(6):700-704. doi: 10.1177/1591019916663470. Epub 2016 Oct 13.
OBJECTIVE
The purpose of this study is to demonstrate our experience in endovascular reconstruction of carotid dissections using the Wingspan Stent System™ (Boston Scientific, Natick, MA, USA), a device we use because of its high radial force and its navigation in extreme curves.
METHODS
We treated 11 consecutive patients with acute ischemic stroke due to carotid dissection with the Wingspan stent, in the cervical carotid artery.
RESULTS
Functional evaluation revealed that 10 of the 11 patients were independent at 3 months post surgery and that the 11 stents used were found to be patent at the 6-month follow-up digital subtraction angiography (DSA).
CONCLUSIONS
The Wingspan stent is an alternative to classic carotid stents and flow diverters for the treatment of cervical internal carotid artery (ICA) dissection associated with ectasias or large loops. The device remains patent over the long term and it is not associated with arterial wall complications.
目的
本研究的目的是展示我们使用Wingspan支架系统™（美国马萨诸塞州纳蒂克市波士顿科学公司）对颈动脉夹层进行血管内重建的经验，我们使用该设备是因为其具有高径向力且能在极端弯曲处导航。
方法
我们对11例因颈动脉夹层导致急性缺血性卒中的患者，在颈段颈动脉使用Wingspan支架进行治疗。
结果
功能评估显示，11例患者中有10例在术后3个月时能够独立活动，并且在6个月的随访数字减影血管造影（DSA）中发现所使用的11个支架均通畅。
结论
对于治疗伴有扩张或大血管袢的颈内动脉（ICA）夹层，Wingspan支架是经典颈动脉支架和血流导向装置的一种替代方案。该装置长期保持通畅，且不伴有动脉壁并发症。
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