颈内动脉临时球囊试验性阻断：500例经验
Temporary balloon test occlusion of the internal carotid artery: experience in 500 cases.
作者信息
Mathis J M, Barr J D, Jungreis C A, Yonas H, Sekhar L N, Vincent D, Pentheny S L, Horton J A
机构信息
Division of Neuroradiology, University of Pittsburgh (Pa) Medical Center, USA.
出版信息
AJNR Am J Neuroradiol. 1995 Apr;16(4):749-54.
PURPOSE
To describe experience with 500 temporary balloon occlusions of the internal carotid artery, with particular emphasis on the techniques and complications.
METHODS
Temporary occlusion of the internal carotid artery was accomplished endovascularly using various balloon-catheter combinations. These temporary balloon occlusions were combined, when possible, with cerebral blood flow analysis with stable xenon-enhanced CT.
RESULTS
Complications related to this procedure occurred in 16 (3.2%) patients. Eight (1.6%) patients had asymptomatic complications. There were 8 who experienced neurologic changes. Six (1.2%) of these were transient; two (0.4%) were permanent. There were no deaths.
CONCLUSIONS
Temporary balloon occlusion of the internal carotid artery, believed helpful in identifying patients at risk of stroke during abrupt carotid artery sacrifice, can be performed with an acceptably low complication rate.
目的
描述500例颈内动脉临时球囊闭塞术的经验，尤其着重于技术和并发症。
方法
采用各种球囊导管组合经血管内完成颈内动脉的临时闭塞。这些临时球囊闭塞在可能的情况下，与稳定氙增强CT脑血流分析相结合。
结果
16例（3.2%）患者出现与该手术相关的并发症。8例（1.6%）患者有无症状并发症。有8例出现神经功能改变。其中6例（1.2%）为短暂性；2例（0.4%）为永久性。无死亡病例。
结论
颈内动脉临时球囊闭塞术被认为有助于识别在突然牺牲颈动脉期间有中风风险的患者，该手术可在并发症发生率可接受的较低水平下进行。
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