心脏介入治疗.pptVIP

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介入治疗时病变部位斑块或血栓碎片脱落可导致远端栓塞，近年来研制的血管远端保护装置如AngioGuard滤器、PercuSurge导丝抽吸导管以及EPI滤器的应用使远端栓塞发生率减少，使介入治疗的成功率提高。;血管远端保护装置(Distalprotectiondevices)

1.PercusugeGuardwire

2.Angioguard

;PreventionofembolisationduringpercutaneousveingraftinterventionusingaFilterWiredistal

protectiondeviceA71

yearoldmanwithpreviousbypassgrafts

wasadmittedwithanacutecoronary

syndrome.

;Thedeviceconsistsofa0.014inchangioplastyguidewireincorporating

aporousfiltermembrane(poresize80mm)suspendedfromawireloop.

Radio-opaquemarkers(arrows)areemployedtopositionthefilterbeyondthetargetlesion.;;plateletemboli(white),lipid-richplaquedebris(yellow),andacutethrombus(red).

;SuccessfuluseoftheGuardwirePlusdistalembolisationprotectiondeviceinanativeleftanteriordescendingcoronaryartery

A66yearoldmanwastransferredforcoronaryangiography48hoursafterpresentationtoareferringhospitalwithanacutecoronarysyndrome.Selectiveinjectionoftheleftcoronaryarteryrevealedalargemobilethrombusintheproximalleftanteriordescendingartery(panelA,arrow).

;;;;;PreventionofDistalEmbolizationDuringCoronary

AngioplastyinSaphenousVeinGraftsandNativeVessels

UsingPorousFilterProtection(Circulation.;104:2436-2441.)

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