Bjarnason H, Hunter D W, Ferral H, Crain M R, Miltz-Miller S E, Wegryn S A, Castaneda-Zuniga W R, Amplatz K
Department of Radiology, University of Minnesota Hospital and Clinic, Minneapolis 55455.
J Vasc Interv Radiol. 1993 May-Jun;4(3):435-9. doi: 10.1016/s1051-0443(93)71894-1.
The authors describe a modified technique for delivering Palmaz 30-mm stents.
The modification is based on the use of an 8-mm Olbert balloon mounted on a 5.8-F shaft. The Palmaz stent is crimped onto the balloon by using finger pressure only. An 8-F introducer sheath can be used instead of a 10-F sheath. The surface material of the balloon prevents the stent from moving as it is introduced through the sheath and lesion. The balloon has a very small profile after deflation, which means it can be easily removed without dislodging the stent. The balloon can be used for placement of more than one stent.
Nineteen Palmaz 30-mm stents have been placed with this method, and there have been no complications or difficulties related to this method. In one case, four stents were delivered by using the same balloon.
This modification should reduce the complications of stent delivery, especially in small iliofemoral systems.
作者描述了一种用于输送30毫米帕尔马兹支架的改良技术。
该改良技术基于使用安装在5.8F导管轴上的8毫米奥尔伯特球囊。仅通过手指按压将帕尔马兹支架压接在球囊上。可以使用8F导入鞘代替10F鞘。球囊的表面材料可防止支架在通过鞘管和病变部位时移动。球囊放气后外形非常小,这意味着它可以很容易地移除而不会使支架移位。该球囊可用于放置多个支架。
使用该方法已放置了19个30毫米帕尔马兹支架,且未出现与该方法相关的并发症或困难。在一个病例中,使用同一个球囊输送了4个支架。
这种改良应能减少支架输送的并发症,尤其是在小髂股系统中。