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在一名股浅动脉慢性完全闭塞患者中使用带有JetStream旋切术的WIRION栓子保护系统进行栓子保护

Embolic Protection using the WIRION Embolic Protection System with JetStream Atherectomy in a Patient with Superficial Femoral Artery Chronic total Occlusion.

作者信息

Shammas Nicolas W

机构信息

Midwest Cardiovascular Research Foundation, Davenport, Iowa.

出版信息

Int J Angiol. 2017 Jun;26(2):130-133. doi: 10.1055/s-0036-1584791. Epub 2016 Jun 28.

DOI:10.1055/s-0036-1584791
PMID:28566941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5446253/
Abstract

Distal embolization is a common occurrence with peripheral arterial interventions and is more frequent with the use of atherectomy devices. We report the first case of JetStream atherectomy (Boston Scientific, Maple Grove, MN) with the use of the novel WIRION embolic protection system filter. The procedure was performed successfully with no distal embolizations beyond the filter and with no complications in the delivery or retrieval of the filter. The pros and cons of the off label use of this filter with JetStream atherectomy are discussed.

摘要

远端栓塞是外周动脉介入治疗中常见的情况，在使用旋切装置时更为频繁。我们报告了首例使用新型WIRION栓子保护系统过滤器进行JetStream旋切术（波士顿科学公司，明尼苏达州枫树谷）的病例。手术成功完成，过滤器远端未发生栓塞，过滤器输送或回收过程中也未出现并发症。本文讨论了该过滤器在JetStream旋切术超说明书使用中的利弊。

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Embolic Protection using the WIRION Embolic Protection System with JetStream Atherectomy in a Patient with Superficial Femoral Artery Chronic total Occlusion.在一名股浅动脉慢性完全闭塞患者中使用带有JetStream旋切术的WIRION栓子保护系统进行栓子保护
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本文引用的文献

1
Safety and Effectiveness of the Nav-6 Filter in Preventing Distal Embolization During Jetstream Atherectomy of Infrainguinal Peripheral Artery Lesions.Nav-6过滤器在预防股腘动脉周围动脉病变Jetstream斑块旋切术中远端栓塞的安全性和有效性
J Invasive Cardiol. 2016 Aug;28(8):330-3. Epub 2016 May 15.
2
Effective endovascular treatment of calcified femoropopliteal disease with directional atherectomy and distal embolic protection: final results of the DEFINITIVE Ca⁺⁺ trial.使用定向旋切术和远端栓子保护对钙化股腘动脉疾病进行有效的血管内治疗：DEFINITIVE Ca⁺⁺试验的最终结果
Catheter Cardiovasc Interv. 2014 Aug 1;84(2):236-44. doi: 10.1002/ccd.25384. Epub 2014 Feb 5.
3
Distal embolic event protection using excimer laser ablation in peripheral vascular interventions: results of the DEEP EMBOLI registry.外周血管介入中使用准分子激光消融进行远端栓塞事件防护：DEEP EMBOLI注册研究结果
J Endovasc Ther. 2009 Apr;16(2):197-202. doi: 10.1583/08-2642.1.
4
Preventing lower extremity distal embolization using embolic filter protection: results of the PROTECT registry.使用栓塞滤器保护预防下肢远端栓塞：PROTECT注册研究结果
J Endovasc Ther. 2008 Jun;15(3):270-6. doi: 10.1583/08-2397.1.
5
Distal embolic protection during femoropopliteal atherectomy.股腘动脉斑块旋切术期间的远端栓子保护
Catheter Cardiovasc Interv. 2006 Mar;67(3):417-22. doi: 10.1002/ccd.20634.