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使用圈套器套住支架取栓器(SOS)技术的血管内支架切除术:一项实验性可行性研究。

Endovascular stentectomy using the snare over stent-retriever (SOS) technique: An experimental feasibility study.

作者信息

Meyer Tareq, Nikoubashman Omid, Kabelitz Lisa, Müller Marguerite, Othman Ahmed, Afat Saif, Kramer Martin, Wiesmann Martin, Brockmann Marc A, Brockmann Carolin

机构信息

Department of Diagnostic and Interventional Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany.

Department of Neuroradiology, University Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany.

出版信息

PLoS One. 2017 May 25;12(5):e0178197. doi: 10.1371/journal.pone.0178197. eCollection 2017.

Abstract

Feasibility of endovascular stentectomy using a snare over stent-retriever (SOS) technique was evaluated in a silicon flow model and an in vivo swine model. In vitro, stentectomy of different intracranial stents using the SOS technique was feasible in 22 out of 24 (92%) retrieval maneuvers. In vivo, stentectomy was successful in 10 out of 10 procedures (100%). In one case self-limiting vasospasm was observed angiographically as a technique related complication in the animal model. Endovascular stentectomy using the SOS technique is feasible in an experimental setting and may be transferred to a clinical scenario.

摘要

在硅血流模型和体内猪模型中评估了使用圈套器套住支架回收器(SOS)技术进行血管内支架切除术的可行性。在体外,使用SOS技术对不同颅内支架进行支架切除术,在24次回收操作中有22次(92%)是可行的。在体内,10例手术中有10例(100%)成功进行了支架切除术。在动物模型中,有1例在血管造影时观察到自限性血管痉挛,这是一种与技术相关的并发症。使用SOS技术进行血管内支架切除术在实验环境中是可行的,并且可能转化为临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a262/5444789/ec0e5cbf8016/pone.0178197.g001.jpg

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