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首页> 外文期刊>Journal of International Medical Research >Effect of aortic arch type on technical indicators in patients undergoing carotid artery stenting
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Effect of aortic arch type on technical indicators in patients undergoing carotid artery stenting

机译:主动脉弓类型对颈动脉支架置入术患者技术指标的影响

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Objective This study was performed to explore the effect of the aortic arch type on technical indicators in patients undergoing carotid artery stenting (CAS). Methods The data of 224 consecutive patients who underwent unilateral CAS from January 2011 to December 2012 were retrospectively analyzed. The requirement for placement of the guiding catheter into the common carotid artery with assistance of an angiographic catheter, fluoroscopy time, contrast agent dose, and adverse events were recorded. Results The fluoroscopy time was significantly longer and the contrast agent dose was significantly higher in patients with Type III than Type I and II arches. Significantly more patients with Type III than Type I and II arches required placement of the guiding catheter with assistance of an angiographic catheter (46.2% vs. 15.0%, respectively). The procedural success rate was significantly lower in patients with Type III than Type I and II arches (96.2% vs. 100.0%, respectively). The incidence of death, myocardial infarction, and all types of stroke was significantly higher in patients with Type III than Type I and II arches (7.7% vs. 1.7%, respectively). Conclusions The aortic arch type is an important influential factor in CAS. Type III arches are associated with more difficulties and complications.
机译:目的进行本研究以探讨主动脉弓类型对颈动脉支架置入术(CAS)患者技术指标的影响。方法回顾性分析2011年1月至2012年12月接受单侧CAS治疗的224例患者的资料。记录了在血管造影导管的帮助下将引导导管置入颈总动脉的要求,荧光检查时间,造影剂剂量和不良事件。结果III型患者的荧光检查时间明显延长,而造影剂剂量明显高于I型和II型弓。与I型和II型足弓相比,III型患者明显更多,需要在血管造影导管的辅助下放置引导导管(分别为46.2%和15.0%)。 III型患者的手术成功率显着低于I和II型患者(分别为96.2%和100.0%)。 III型患者的死亡,心肌梗塞和所有类型的中风的发生率均显着高于I型和II型弓(分别为7.7%和1.7%)。结论主动脉弓类型是影响CAS的重要因素。 III型牙弓会带来更多的困难和并发症。

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