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脑保护装置的种类

时间:2015-04-29 21:48来源:未知 作者:Mr.Editor
Cerebral Protection Device 1. 远端阻塞球囊(Distal Occlusion Balloon):不能耐受脑血流阻塞的病人约6-10%【1】(Flow occlusion, not tollerated in 6- 10% pts【1】 Percusurge Guard Wire ( Medtronic) 1. Fanelli F, Bezzi M, Boatta E, Passariello
Cerebral Protection Device







1. 远端阻塞球囊(Distal Occlusion Balloon):不能耐受脑血流阻塞的病人约6-10%【1】(Flow occlusion, not tollerated in 6- 10% pts【1】


Percusurge Guard Wire ( Medtronic)  
 



2. 滤器(Filters)保护伞









3. 近端保护装置(Proximal Protection System)

Flow occlusion, not tollerated in 6- 10% pts 【1】



M.O.M.A. (Medtronic)

        脑保护装置的并发症【2,3】:由于血管迂曲(tortuous vessels)、严重狭窄(tight stenoses)、不完全依附(incomplete adherence)和保护装置设计(structural design)等原因
  • 不能够通过病变(Inability to cross the lesion)
  • 不能够抓捕到脱落斑块(Failure to capture the emboli)
  • 血管痉挛或血管壁损伤(Vasospasm or injury to the vessel wall)
  • 急性保护伞血栓(Acute filter thrombosis)
  • 保护伞分离(Filter detachment)

      在通过病变的时候,12%发生栓塞事件【4】。

      “Seat belt and Air bag” technique = 安全带和气囊技术【5】

1. Fanelli F, Bezzi M, Boatta E, Passariello R. Techniques in cerebral protection. Eur J Radiol. 2006 Oct;60(1):26-36. Epub 2006 Jul 26. Review

2. Boltuch J, Sabeti S, Amighi J, Dick P, Mlekusch W, Schlager O, Ahmadi A, Minar E, Schillinger M. Procedure-related complications and early neurological adverse events of unprotected and protected carotid stenting: temporal trends in a consecutive patient series. J Endovasc Ther. 2005 Oct;12(5):538-47.

3. Fanelli F1, Bezzi M, Boatta E, Passariello R. Carotid intervention 3: the evidence for cerebral protection. Semin Intervent Radiol. 2007 Jun;24(2):234-43. 

4. Whitlow PL, Lylyk P, Londero H, Mendiz OA, Mathias K, Jaeger H, Parodi J, Schönholz C, Milei J. Carotid artery stenting protected with an emboli containment system. Stroke. 2002 May;33(5):1308-14.

5. Parodi JC1, Schönholz C, Ferreira LM, Mendaro E, Ohki T."Seat belt and air bag" technique for cerebral protection during carotid stenting. J Endovasc Ther. 2002 Feb;9(1):20-4.
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