动脉支架与流量逆转大脑保护和MicroNet覆盖的支架
Tommaso Castrucci1, Aira Sciarra2, Andrea Siani2
1Vascular Surgery Unit, Sant'Eugenio Hospital, Rome, Italy - tommaso.castrucci@aslroma2.it.
The Journal of cardiovascular surgery
|July 15, 2024
概括
这项研究表明,使用FlowGate2大脑保护系统与CGuard支架一起用于动脉支架是安全有效的,可显著减少栓塞事件.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 神经学 神经学
背景情况:
- 动脉支架 (CAS) 带有栓塞事件的风险.
- 大脑保护装置旨在减轻这些风险.
- 评估新型保护系统对于改善CAS结果至关重要.
研究的目的:
- 评估FlowGate2流量逆转大脑保护系统与MicroNet覆盖的CGuard支架的有效性和安全性.
- 通过这种综合方法,确定接受CAS的患者早期和晚期栓塞事件的发生率.
主要方法:
- 一项前性单中心研究,涉及180名患者 (2018-2023) 的204项手术.
- 在CAS期间使用FlowGate2导管用于近道流量逆转大脑保护.
- 患者接受了MicroNet覆盖的CGuard支架;随访包括立即,30天,6个月,12个月和年度评估.
主要成果:
- 在99%的案例中,成功执行协议.
- 由于脑出血,轻微中风 (0.5%) 和术后死亡 (0.5%) 的发生率较低.
- 没有严重的中风或神经学得分恶化;在6个月后,有一例静脉复缩 (0.5%).
结论:
- 结合FlowGate2和CGuard支架,可以有效地减少CAS期间发生的栓塞事件.
- 这种方法显示出有利的安全性,并发症率低.
- 这项研究支持在接受CAS的高风险患者中使用该系统.
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