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首页> 外文期刊>Journal of endovascular surgery: the official journal of the International Society for Endovascular Surgery >Neurological monitoring during carotid artery stenting: the Duck Squeezing Test.
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Neurological monitoring during carotid artery stenting: the Duck Squeezing Test.

机译：颈动脉支架置入术期间的神经学监测：鸭子挤压试验。

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摘要

PURPOSE: To examine the usefulness of a novel method for neurological monitoring during carotid artery stenting (CAS). METHODS: The records of patients who underwent elective CAS between June 1996 and October 1998 were reviewed to identify those who had neurological changes during the procedure. We examined whether the neurological change had been detected by a change in the ability of the patient to respond to predetermined commands involving a small rubber duck placed in the contralateral hand. RESULTS: hundred seventy patients (320 vessels) underwent monitoring using the Duck Squeezing Test; 10 suffered neurological events during the procedure. Four of these were transient and temporally related to balloon inflation. Another 6 were tentatively ascribed to distal embolism. All instances were accompanied by a change in the patient's ability to perform the Duck Squeezing Test, which allowed the identification of the abnormal clinical situation. In addition, there were 4 false-positive tests secondary to the patient accidentally dropping the rubber duck. CONCLUSIONS: The Duck Squeezing Test is a sensitive and specific method for monitoring patients during elective CAS. Its practical applicability is based on sound neurophysiological concepts, which underscore the clinical importance of the test.
机译：目的：探讨在颈动脉支架置入术（CAS）期间进行神经学监测的新方法的有效性。方法：回顾性分析1996年6月至1998年10月期间接受选择性CAS的患者的病历，以鉴定在手术过程中神经系统改变的患者。我们检查了是否通过改变患者对涉及放在对侧手的小橡皮鸭的预定命令的反应能力来检测到神经系统改变。结果：鸭挤压试验对一百七十名患者（320艘船）进行了监测。手术期间有10人遭受了神经系统事件。其中有四个是暂时性的，在时间上与球囊膨胀有关。另有6人被初步归因于远端栓塞。在所有情况下，患者进行鸭挤压试验的能力都会发生变化，从而可以确定异常的临床情况。此外，有4次假阳性测试是由于患者意外掉下橡皮鸭而引起的。结论：鸭挤压试验是在选择性CAS期间监测患者的灵敏且特定的方法。它的实际适用性基于良好的神经生理学概念，强调了该测试的临床重要性。

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