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颈动脉支架植入后扩张

时间:2021-07-02 14:37来源:www.ynjr.net 作者:杨宁介入医学网
主意,大多数发生栓塞时间的时段 球囊需要快速充盈(inflation)和回缩(deflation) 残余狭窄<20%或10% 使用镍钛合金支撑架 低剖面,0.014 快速交换球囊,直径在5-5.5-6mm之间,长度在2cm左右。球囊充盈前肌注阿托品1mg。
主意,大多数发生栓塞时间的时段
  • 球囊需要快速充盈(inflation)和回缩(deflation)
  • 残余狭窄<20%或10%
  • 使用镍钛合金支撑架

低剖面,0.014“ 快速交换球囊,直径在5-5.5-6mm之间,长度在2cm左右。球囊充盈前肌注阿托品1mg。


支撑架释放后应避免极度球囊扩张以防止脑栓塞,特别是在复杂斑块影像的情况下。

After stent deployment extreme balloon dilation should be avoided to prevent late embolization especially in case of complex plaque morphology. 


6小时后发生栓塞事件,由支架附着区域,或主动脉弓操作,或来自心脏脱落栓塞造成。

Embolic events occurrence after 6 hours is caused by material arising either from the stented area or from aortic arch manipulation or from the
heart.


小网眼支撑架应首选,以防止栓塞颗粒通过网眼。

Stents with small meshes should be preferred to prevent late passage of particles through the meshes.


去除脑保护装置之前尝试”洗支撑架“,以去除附着在上面的颗粒

Before removal of the protection device an attempt should be made to “wash the stent” to remove the particles attached to it.

 
动脉痉挛不应被认为是技术并发症,因为他可以通过局部注射Nitroglycerine 成功解决。

Arterial spasm must not be considered a technical complication because it can be solved successfully with local injection of Nitroglycerine。

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