近_远端保护装置在颈动脉重度狭窄支架治疗中的联合应用_杜志华.pdf

　 2011 9 1 36 9 Med J Chin PLA, Vol.36, No.9, September 1, 2011　 ·939 · 近、远端保护装置在颈动脉重度狭窄支架治疗中的联合应用 杜志华,李宝民,王君, 曹向宇,刘新峰 [] 　　、。　2010 3-7 5 , +, 。 　1 , 4 , , 。1 ～3 , 。　, 、, , , , , 。 　　[]　;;; 　　[]　R653.4　　　　　[]　A 　　　　　[]　0577-7402(2011)09-0939-03 Combined application of distal and proximal embolic protection devices in endovascular stenting for severe carotid artery stenosis ＊ DU Zhi-hua, LI Bao-min , WANG Jun, CAO Xian -yu, LIU Xin-fen .Department of Neurosur ery, General Hospital of PLA, Beijin 100853, China ＊Correspondin author, E-mail:baomin301@ [Abstract] 　Objective　To analyze and summarize methods and experiences of combined application of distal and proximal embolic protection devices (EPD)in endovascular stentin for severe carotid artery stenosis.Methods　Five patients with severe stenosis of the common carotid artery or with extracranial se ment of the internal carotid artery dia nosed throu h di ital subtraction an io raphy (DSA) from March to July 2010 were involved in the present study.All patients received carotid an ioplasty and stentin (CAS), with a combination of distal and proximal EPD via the percutaneous femoral artery approach.Results　The operation failed in one patient, whereas technical success with no intraoperative complication was achieved in four patients.The symptoms disappeared or improved in the four cases that achieved technical success.The follow-up duration was one to three months, and no cerebral ischemia was found. Conclusion　CAS with the combined application of distal and proximal EPD in some special cases of carotid artery stenosis may surmount the shorta e of sin le EPD, reduce the risk of intraoperative embolization, decrease the time of intraoperative endovascular inflow occlusion, and reduce hi h-risk operations.CAS may be used as an individualized treatment strate y for patients with carotid artery stenosis. 　　[Ke