Carotid 动脉的几何修改和临床影响在 Carotid 动脉支架后
Edoardo Pasqui1, Bruno Gargiulo1, Leonardo Pasquetti1
1Vascular Surgery Unit, Department of Medicine, Surgery and Neuroscience, University of Siena, 53100 Siena, Italy.
Journal of personalized medicine
|November 26, 2024
概括
道路救生器支架在动脉的适应性较差,导致支架后更大的角度变化. 这种几何变化并没有影响支架复缩的速度.
科学领域:
- 血管外科 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) 可以改变动脉分叉的几何形状,可能影响临床结果.
- 了解这些几何变化对于优化CAS程序至关重要.
研究的目的:
- 为了评估三种不同的动脉支架设计对动脉分叉的几何影响.
- 评估这些几何变化的临床后果.
主要方法:
- 在3年内对接受CAS的患者进行了回顾性单中心研究.
- 根据支架类型分为三个类别:墙壁支架,道路保护器和C-Guard.
- 来自血管图像的前后静脉分叉角度的分析.
主要成果:
- 总共分析了226名患者,不同比例的患者接受了每种类型的支架.
- 在造后观察到动脉 (CCA) - 内动脉 (ICA) 角度的显著变化 (p=0.0001),在Roadsaver组中变化最大.
- CCA 的超大尺寸与 CCA-ICA 角度修改有显著的相关性 (p=0.006).
结论:
- 与Wallstent和C-Guard相比,Roadsaver支架在动脉分叉方面表现出较低的适应性.
- 这导致了植入后更大的CCA-ICA角度修改,尽管它没有影响支架恢复率.
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