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* 径向支撑力与抗血管回缩能力的区别 向外扩张的径向支撑力 “支架自我向外扩张的能力” 抵抗血管回缩能力 “支架抵抗管壁回缩的能力” Stent Lumen Lumen Stent ≠ 不同类型支架的径向支撑力 *Source: Boston Scientific Stent Test Report 钴铬合金编织支架 镍钛合金雕刻支架 Carotid Wallstent NexStent Exponent Xact Acculink Protégé Precise 径向支撑力 vs 抗血管回缩能力 理想的颈动脉支架应该具有较低的径向支撑力，较高的抗血管回缩能力 95%+的颈动脉病变都需要进行支架后扩，因此抗血管回缩能力很重要 Carotid Wallstent具有适度的径向支撑力，高抗血管回缩能力 镍钛支架都具有高径向支撑力 高径向支撑力对颈动脉窦产生持续的压力 高径向支撑力的直接后果是低血压 低血压治疗的风险 增加心肌缺血和脑缺血的风险 增加因低血压治疗的住院时间 增加低血压治疗的成本（住院时间延长和药物） 患者通常需要ICU监护 相关临床研究支持 结论: 与钴铬合金编织支架相比，在CAS中，镍钛合金支架引起低血压的风险更高 总结 Stent Lumen 支架网孔面积 通过减少环内面积，最大程度覆盖病灶部位，有效预防卒中 单元结构设计 完全连接或重叠的支架梁柱能使支架内表面光滑，减少挂伞风险 径向支撑力 优化径向支撑力，维系管腔完整，减少低血压等不良临床事件发生率 * * * * * Paradigm difference: The carotid arteries differ from the peripheral and coronary arteries. Restenosis is not the problem, the problem is stroke (an embolic problem); Key Opinion Leaders are saying 30-day results may be more important than 1-yr results. * * * * * * * * * * * * * * * * * * * * * * Boston Scientific Confidential -- For Internal Use Only.? Do Not Copy, Display or Distribute Externally Confidential information of Boston Scientific Corporation. Do not copy or distribute. * Boston Scientific Confidential -- For Internal Use Only.? Do Not Copy, Display or Distribute Externally Confidential information of Boston Scientific Corporation. Do not copy or distribute. Confidential information of Boston Scientific Corporation. Do not copy or distribute. * Boston Scientific Confidential -- For Internal Use Only.? Do Not Copy, Display or Distribute Externally Confidential information of Boston Scientific Corporation. Do not copy or distribute. * Boston Scientific Confidential -- For Internal Use Only.? Do Not Copy, Display or Distribute Externally Confidential information of Boston Scientific Corporation. Do not copy or distribute. * Boston Scientific Confidential -- For Internal Use Only.? Do Not Copy, Display or Distribute Externally Confidential information of Boston Scientific