Kassavin Daniel S, Clair Daniel G
Department of Vascular Surgery, Cleveland Clinic, Cleveland, Ohio.
Department of Surgery, University of South Carolina, Columbia, SC.
J Vasc Surg. 2017 Jan;65(1):271-275. doi: 10.1016/j.jvs.2016.09.048. Epub 2016 Nov 19.
Carotid artery stenting performed with distal embolic protection devices continues to show elevated rates of periprocedural stroke, in particular with high-risk groups. This article discusses the factors associated with protection devices that may contribute to this complication, performs a literature review to assess outcomes of carotid stenting with proximal occlusion devices, and assesses the role of proximal occlusion devices in the management of patients with carotid artery stenosis.
使用远端栓子保护装置进行的颈动脉支架置入术，围手术期卒中发生率持续居高不下，尤其是在高危人群中。本文讨论了与保护装置相关的、可能导致这一并发症的因素，进行文献综述以评估使用近端闭塞装置进行颈动脉支架置入术的结果，并评估近端闭塞装置在颈动脉狭窄患者管理中的作用。
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