动脉支架时与栓塞保护装置相关的技术并发症:发生率,危险因素,临床影响和救援操作
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Updated: May 4, 2026

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Simulator Training for Endovascular Neurosurgery
Published on: May 6, 2020
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Bo Kyu Kim1, Byungjun Kim1, Sung-Hye You1
1Department of Radiology, Korea University Anam Hospital, Korea University College of Medicine, 73, Goryeodae-ro, Seongbuk-gu, Seoul 02841, Republic of Korea.
Diagnostics (Basel, Switzerland)
|December 17, 2024
概括
在使用栓塞保护装置 (EPD) 进行动脉支架 (CAS) 的过程中,技术并发症发生在23.4%的患者中. 复杂的过器检索是最常见的,但救援技术确保了成功的移除和程序安全.
科学领域:
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
- 医疗器械技术 医疗器械技术
背景情况:
- 动脉支架 (CAS) 是预防中风的关键手术.
- 栓塞保护装置 (EPD) 用于在CAS期间尽量减少栓塞事件.
- 与EPD相关的技术并发症需要谨慎管理.
研究的目的:
- 在CAS期间评估EPD技术并发症的发生率和风险因素.
- 分析这些并发症的临床影响.
- 调查有效的救援机动来管理与EPD相关的不良事件.
主要方法:
- 对158名经过CAS与EPD治疗的患者进行了回顾性审查 (2018年4月 - 2024年3月).
- 评估与EPD相关的技术并发症发生率和类型.
- 分析临床,血管学和程序因素,以确定风险.
- 基于程序记录的救援技术的评估.
主要成果:
- 与EPD相关的技术并发症发生在23.4%的患者中.
- 复杂的过器检索是最常见的并发症 (14.6%).
- 高龄,较高的残留狭窄和EPD类型是复杂检索的危险因素.
- 通过使用各种救援技术实现了成功的过器检索,主要不良事件没有显著增加.
结论:
- 复杂的过器检索是使用EPD的CAS期间的主要技术挑战.
- 不同的救援策略是有效的,以确保成功的过器去除.
- 这些技术提高了使用EPD的CAS程序的整体安全性.
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