颈动脉斑块形态学如何影响治疗选择.pptx

血管解剖和斑块形态学如何影响颈动脉狭窄治疗的选择？郭大乔复旦大学附属中山医院血管外科 复旦大学血管外科研究所已有的循证医学证据年龄性别有、无脑缺血症状者超过1000例的单中心回顾研究EuroIntervention 2011;17:820– a low complication rate of 1.7% compared to randomised trials – unfavourable anatomical or procedural factors were seen in 88% of the patients who had in-hospital complications – the learning curve: 150-195 cases --2%; 500--1%– a significantly higher complication rate in patients ≥80 years. EuroIntervention 2011;17:820病例1（术后3周患侧眼失明）病例2（术后6H）病例3（术中出现症状）病例3病例4（术后即出现症状）RAO90°LAO45°LAO90°RLL病例4RAO90°LAO45°LAO90°RLL共同特征病变长（20mm）溃疡型、低回声斑块术中远端保护装置捕获栓子后血流缓慢装置回收困难年龄均大于75岁2/4患者症状出现于术后