Hirato Marina, Tsumoto Tomoyuki
Division of Stroke Center, Department of Neurosurgery, Showa University Fujigaoka Hospital.
No Shinkei Geka. 2023 Mar;51(2):305-313. doi: 10.11477/mf.1436204746.
The increase in the number of carotid artery stenting cases can be attributed to a decrease in complications owing to the evolution of devices. In this procedure, the choice of the protection device and stent for each case is the main concern. Embolic protection devices(EPD)that prevent distal embolization can be divided into proximal and distal types. Previously, balloon-type devices were used as distal EPDs; however, since they are no longer available, filter-type devices are now mainstream. Carotid stents are also divided into open- and closed-cell types. Therefore, this review describes the characteristics of each device in the actual cases at our hospital.
颈动脉支架置入病例数量的增加可归因于由于器械的发展并发症减少。在该手术中,针对每个病例选择保护装置和支架是主要关注点。预防远端栓塞的栓子保护装置(EPD)可分为近端型和远端型。以前,球囊型装置用作远端EPD;然而,由于它们已不再可用,现在滤器型装置是主流。颈动脉支架也分为开孔型和闭孔型。因此,本综述描述了我院实际病例中每种装置的特点。