Division of Vascular and Endovascular Surgery, University of Colorado Anschutz Medical Center, Aurora, CO, USA -
Division of Cardiology, University of Colorado Anschutz Medical Center, Aurora, CO, USA.
J Cardiovasc Surg (Torino). 2020 Dec;61(6):759-762. doi: 10.23736/S0021-9509.20.11421-6. Epub 2020 Jul 1.
Carotid artery disease and stroke account for the second cause of mortality in worldwide. Recently, transcarotid artery stenting (TCAR) has emerged as a treatment modality that carries a very low stroke rate. However, there are limitations to TCAR, such as heavily calcified plaques that might preclude optimal stent expansion. We describe a successful transcarotid artery stenting with flow reversal performed in an independent and active nonagenarian with focal, circumferentially calcified carotid artery plaque, for which intravascular lithotripsy was utilized.
颈动脉疾病和中风是全球范围内导致死亡的第二大原因。最近，经颈动脉血管内支架置入术（TCAR）作为一种治疗方式出现，其卒中发生率非常低。然而，TCAR 存在一些局限性，例如重度钙化斑块可能导致支架扩张不理想。我们描述了一例成功的经颈动脉血管内支架置入术，该手术采用了血流反转技术，在一位 90 多岁的独立且活跃的患者中进行，该患者存在局灶性、环状钙化颈动脉斑块，术中使用了血管内碎石术。
