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裸支架及药物涂层支架置入或支架型人工血管植入治疗股浅动脉疾病后支架周围的“低回声区”

"Low Echoic Area" around stent after bare and drug-coated stenting or stent graft placement for superficial femoral artery disease.

作者信息

Soga Yoshimitsu, Ando Kenji

机构信息

Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.

出版信息

SAGE Open Med Case Rep. 2021 May 12;9:2050313X211014519. doi: 10.1177/2050313X211014519. eCollection 2021.

Abstract

Restenosis after stent implantation in femoropopliteal lesions is still big issue. However, restenosis has been reduced by the recent new drug-eluting stent "Eluvia" (Boston Scientific, Marlborough, MA, USA). However, it was reported that "low echoic area (LEA)" finding around stent by ultrasound that they called "aneurysmal degeneration," but no blood flow was identified outside the stent was confirmed after Eluvia implantation. In this report, we describe the similar findings that were observed after other types of stents (S.M.A.R.T. bare-nitinol stent (Cordis Corporation, Hialeah, FL, USA), Zilver PTX drug-coated stent (Cook Medical, Bloomington, IN, USA), and Viabahn stent graft (W. L. Gore & Associates, Newark, Delaware, USA)) for superficial femoral artery disease. These findings did not change to "aneurysmal change" during the follow-up.

摘要

股腘动脉病变支架植入术后的再狭窄仍是一个重大问题。然而,最近新型药物洗脱支架“Eluvia”(美国波士顿科学公司,马尔伯勒,马萨诸塞州)已使再狭窄情况有所减少。不过,有报道称,在植入Eluvia后,通过超声在支架周围发现了他们称之为“动脉瘤样退变”的“低回声区(LEA)”,但在支架外未发现血流。在本报告中,我们描述了在用于股浅动脉疾病的其他类型支架(美国科迪斯公司的S.M.A.R.T.裸镍钛合金支架、美国库克医疗公司的Zilver PTX药物涂层支架以及美国威朗公司的Viabahn覆膜支架)植入后观察到的类似发现。这些发现在随访期间并未转变为“动脉瘤样改变”。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f84/8120600/ac304b3df668/10.1177_2050313X211014519-fig1.jpg

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