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制作单轨式诊断导管以用于远端栓塞保护装置的救援取回技术。

Fabrication of a monorail-type diagnostic catheter for rescue retrieval technique of a distal embolic protection device.

机构信息

Department of Neurosurgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, 102, Heukseok-Ro, Dongjak-Gu, Seoul, 06973, Republic of Korea.

Department of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Republic of Korea.

出版信息

Acta Neurochir (Wien). 2024 Jan 29;166(1):45. doi: 10.1007/s00701-024-05951-0.

DOI:10.1007/s00701-024-05951-0
PMID:38285124
Abstract

In this technical report, we describe a challenging case concerning the retrieval of a distal embolic protection device (DEPD) post-carotid artery stenting. We propose a novel rescue retrieval technique for DEPD, employing a fabricated monorail-type HN5 diagnostic catheter. When integrated with existing strategies, this approach may optimize and streamline the process of DEPD removal.

摘要

在这份技术报告中,我们描述了一个关于在颈动脉支架置入术后取回远端栓塞保护装置(DEPD)的挑战性病例。我们提出了一种新的 DEPD 救援取回技术,使用制造的单轨型 HN5 诊断导管。当与现有的策略相结合时,这种方法可以优化和简化 DEPD 取出过程。

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Fabrication of a monorail-type diagnostic catheter for rescue retrieval technique of a distal embolic protection device.制作单轨式诊断导管以用于远端栓塞保护装置的救援取回技术。
Acta Neurochir (Wien). 2024 Jan 29;166(1):45. doi: 10.1007/s00701-024-05951-0.
2
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本文引用的文献

1
Trapped Embolic Protection Device: A Salvage Technique.圈套式栓子保护装置:一种挽救技术。
Cureus. 2020 Jul 16;12(7):e9228. doi: 10.7759/cureus.9228.
2
Randomized Trial of Stent versus Surgery for Asymptomatic Carotid Stenosis.无症状性颈动脉狭窄支架治疗与手术治疗随机试验
N Engl J Med. 2016 Mar 17;374(11):1011-20. doi: 10.1056/NEJMoa1515706. Epub 2016 Feb 17.
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A manual carotid compression technique to overcome difficult filter protection device retrieval during carotid artery stenting.一种用于克服颈动脉支架置入术中滤器保护装置取出困难的手动颈动脉压迫技术。
J Stroke Cerebrovasc Dis. 2015 Jan;24(1):210-4. doi: 10.1016/j.jstrokecerebrovasdis.2014.08.022. Epub 2014 Nov 13.
4
Risk factors and complications associated with difficult retrieval of embolic protection devices in carotid artery stenting.与颈动脉支架置入术(Carotid artery stenting)中栓塞保护装置(Embolic protection devices)难以取出相关的风险因素和并发症。
Cardiovasc Intervent Radiol. 2012 Feb;35(1):43-8. doi: 10.1007/s00270-011-0117-y. Epub 2011 Mar 9.
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Circulation. 2011 Jul 26;124(4):489-532. doi: 10.1161/CIR.0b013e31820d8d78. Epub 2011 Jan 31.
6
Stenting versus endarterectomy for treatment of carotid-artery stenosis.颈动脉狭窄的血管内支架成形术与颈动脉内膜切除术治疗的比较。
N Engl J Med. 2010 Jul 1;363(1):11-23. doi: 10.1056/NEJMoa0912321. Epub 2010 May 26.
7
Cerebral protection devices reduce periprocedural strokes during carotid angioplasty and stenting: a systematic review of the current literature.脑保护装置可减少颈动脉血管成形术和支架置入术中围手术期卒中的发生:对当前文献的系统评价
J Endovasc Ther. 2009 Aug;16(4):412-27. doi: 10.1583/09-2713.1.
8
Rescue retrieval of AngioGuard embolic capture system after failure of capture sheath retrieval in carotid angioplasty and stenting.在颈动脉血管成形术和支架置入术中捕获鞘回收失败后,对AngioGuard栓子捕获系统进行挽救性回收。
AJNR Am J Neuroradiol. 2008 Sep;29(8):1594-5. doi: 10.3174/ajnr.A1118. Epub 2008 May 22.
9
Difficult retrieval of the EPI Filterwire with a 5 French FR4 coronary catheter following carotid stenting.颈动脉支架置入术后使用5法国FR4冠状动脉导管难以取出EPI Filterwire。
Catheter Cardiovasc Interv. 2006 Feb;67(2):309-11. doi: 10.1002/ccd.20525.
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Protected carotid-artery stenting versus endarterectomy in high-risk patients.高危患者中颈动脉支架置入术与颈动脉内膜切除术的比较
N Engl J Med. 2004 Oct 7;351(15):1493-501. doi: 10.1056/NEJMoa040127.