支架设计对在动脉支架后斑块突起的影响
Yukiko Enomoto1, Yusuke Egashira1, Naoko Funatsu2
1Department of Neurosurgery, Gifu University Graduate School of Medicine, Gifu, Gifu, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
动脉支架 (CAS) 支架设计影响结果. 开放细胞支架提供更好的血管壁附着,而闭细胞支架与较高的不完整附着率有关,这表明需要混合设计.
科学领域:
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
- 生物医学工程 生物医学工程
背景情况:
- 动脉支架 (CAS) 是预防中风的关键手术.
- 支架设计是影响程序成功和长期结果的关键因素.
- 了解CAS后的血管内发现对于优化支架选择至关重要.
研究的目的:
- 评估不同支架设计 (开放细胞与封闭细胞) 之间的关联,以及 carotid 动脉支架后的血管内发现.
- 为了比较开放细胞和封闭细胞支架之间的斑块突起和支架插座.
- 为了确定CAS. 支架技术的潜在改进.
主要方法:
- 在2016年3月至2020年6月期间接受CAS的65名患者的回顾性分析.
- 利用光学频域成像和血管镜进行全面的支架后静脉评估.
- 关闭细胞和开放细胞支架组之间的结果比较,考虑患者和斑块特征.
主要成果:
- 闭细胞组表现出更高的高风险斑块的流行率.
- 在支架组之间没有观察到缺血并发症率的显著差异.
- 开放细胞支架显示出更好的血管壁附着,而闭细胞支架显示出更高的不完整附着率.
结论:
- 开放细胞支架有助于优质支架的安置,但与增加的斑块突起有关.
- 闭细胞支架与较高的不完整附着发生率有关.
- 一个新的混合式支架设计,结合开放式和闭细胞支架的优势是有必要的.
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