...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >The use of telescoped flow diverters as an endovascular bypass in the management of symptomatic chronic carotid occlusion
【24h】

The use of telescoped flow diverters as an endovascular bypass in the management of symptomatic chronic carotid occlusion

机译：伸缩式分流器在有症状的慢性颈动脉阻塞治疗中作为血管内旁路的应用

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Flow diverters constitute a new generation of flexible self-expanding, stent-like devices with a high-metal surface-area coverage for the endovascular management of wide-necked, fusiform, large, and giant unruptured intracranial aneurysms. They achieve aneurysm occlusion through endoluminal reconstruction of the dysplastic segment of the parent artery that gives rise to the aneurysm. To our knowledge, there is no report on the use of flow diverters for the management of occlusive cerebrovascular disease. We describe the novel use of telescoped flow diverters in a construct that acts as an endovascular bypass for the management of symptomatic chronic carotid occlusion. In long carotid occlusions with a burden of extensive clots and atherosclerotic plaque, we found that the reduced porosity of the diverter mesh serves as an effective barrier to in-stent clot protrusion and distal embolization. Diverter implantation allows subsequent angioplasty. With this patient report, we propose a new potential application for flow diverters in the management of occlusive cerebrovascular disease. The optimal application of these devices will continue to be defined as clinical experience evolves.
机译：分流器构成了新一代的柔性自扩张式支架状装置，具有高金属表面积，可用于颈宽，梭形，大而巨大的颅内动脉瘤的血管内管理​​。它们通过腔内重建引起动脉瘤的亲代动脉异常增生部分来实现动脉瘤闭塞。据我们所知，尚无关于使用分流器治疗闭塞性脑血管疾病的报道。我们描述了一种新型的伸缩式分流器在构造中的使用，该构造充当有症状的慢性颈动脉闭塞的血管内旁路。在长颈动脉闭塞并伴有大量血块和动脉粥样硬化斑块的情况下，我们发现分流网孔的减少的孔隙率可作为支架内血块突出和远端栓塞的有效屏障。分流器植入允许随后的血管成形术。有了这份患者报告，我们提出了一种在阻塞性脑血管疾病管理中用于分流器的新潜在应用。这些设备的最佳应用将随着临床经验的发展而不断定义。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号