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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Efficacy of Carotid Artery Stenting by the Universal Protection Method
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Efficacy of Carotid Artery Stenting by the Universal Protection Method

机译：颈动脉支架普遍保护方法的疗效

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Purpose: To avoid distal plaques embolization during carotid artery stenting, we developed Universal Protection Method that combined the use of a proximal common carotid artery balloon, an external carotid artery balloon, and a distal internal carotid artery filter, with continuous flow reversal to the femoral vein. Herein, we assessed the efficacy of the Universal Protection Method by comparing stenting outcomes before and after its introduction. Materials and Methods: We assessed outcomes for 115 cases before and 41 cases after the Universal Protection Method was adopted (non-Universal Protection Method and Universal Protection Method groups, respectively). We then compared procedure details, magnetic resonance imaging (within 48 hours after the procedure), intraprocedural complications, and postoperative stroke rates. Results: Ischemic stroke was not observed in the Universal Protection Method group, but 1 major stroke and 2 minor strokes were observed in the non-Universal Protection Method group. High-intensity areas were seen in 6 (15.0%) and 49 (42.6%) cases in the Universal Protection Method and non-Universal Protection Method groups, respectively (P = .001). Contrastingly, intraprocedural complications were observed in 9 (22.5%) and 21 (18.3%) cases in the Universal Protection Method and non-Universal Protection Method groups, respectively. Among these intraprocedural complication cases, high-intensity areas were observed in 1 case (11.1%) in the Universal Protection Method group and in 15 cases (71.4%) in the non-Universal Protection Method group. Conclusions: Universal Protection Method is a safe technique that is applicable to all patients undergoing carotid artery stenting, irrespective of individual risk factors. Notably, the incidence rates of both distal embolization and unexpected intraprocedural complications are low.
机译：目的：为了避免颈动脉支架期间远端斑块栓塞，我们开发了通用保护方法，将使用近端常见的颈动脉气球，外部颈动脉气球和远端内部颈动脉过滤器的使用，连续流向股骨静脉。在此，我们通过比较其引入前后的支架结果来评估普遍保护方法的功效。材料和方法：我们在采用了通用保护方法之前评估了115例和41例的结果（分别是非通用保护方法和通用保护方法组）。然后，我们比较了程序细节，磁共振成像（在手术后48小时内），颅脑并发症和术后行程率。结果：在普遍保护方法组中未观察到缺血性脑卒中，但在非普遍保护方法组中观察到1个主要中风和2个小程。在普遍保护方法和非通用保护方法组中，在6（15.0％）和49例（42.6％）和非普遍保护方法组中观察到高强度区域（P = .001）。比较的是，在普遍保护方法和非通用保护方法组中，在9（22.5％）和21例（18.3％）和21例（18.3％）病例中观察到颅脑并发症。在这些颅脑复制病例中，在普遍保护方法组的1例（11.1％）中观察到高强度区域，在非通用保护方法组中的15例（71.4％）。结论：通用保护方法是一种安全的技术，适用于患有颈动脉支架的所有患者，无论个体风险因素如何。值得注意的是，远端栓塞和意外的颅脑并发症的发病率低。

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