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通过修改的栓塞保护装置成功治疗急性带支架血栓的皮肤救援治疗
Alessandro Di Giorgio1, Alessandro Mazzapicchi2, Carla Rochira3
1Division of Cardiology, Catheterization Laboratory and Cardiovascular Intensive Care Unit, Cannizzaro Hospital, Catania, Italy.
Vascular and endovascular surgery
|October 3, 2024
概括
急性动脉支架血栓 (ACST) 是动脉支架 (CAS) 后的一种罕见但严重的并发症. 这一案例证明了一种成功的新疗法,使用支架内支架技术迅速管理ACST,防止神经损伤.
科学领域:
- 干预心脏病学 干预心脏病学
- 神经学 神经学
- 血管外科 血管外科
背景情况:
- 急性状动脉支架血栓 (ACST) 是一种罕见的,危及生命的并发症,在状动脉支架 (CAS) 之后发生.
- 及时诊断和干预对于ACST病例的良好结果至关重要.
研究的目的:
- 报告发生在CAS后立即发生的ACST病例.
- 描述一种新的皮穿式策略来治疗ACST,使用一种用修改的栓塞保护装置进行支架内支架的方法.
主要方法:
- 一位患者在CAS.后5分钟经历了ACST.
- 治疗涉及 carotid 支架在支架植入.
- 在干预过程中使用了一种修改后的栓塞保护装置.
主要成果:
- 支架内支架植入成功解决了ACST.
- 48小时后的术后CT扫描显示没有急性脑缺血事件的证据.
- 在接下来的几天里,病人没有表现出神经缺陷.
结论:
- 这一案例突显了一种新的皮肤穿式支架内支架策略的有效性,用于治疗急性带支架血栓形成.
- 描述的技术,利用修改的栓塞保护装置,提供了一种有希望的方法,以防止CAS后缺血性并发症.
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