越来越多的使用和相关的结果
Paul Crisostomo1, Paula Pinto Rodriguez1, Nabeeha Khan1
1Division of Vascular Surgery and Endovascular Therapy, Stritch School of Medicine, Loyola University Medical Center, Loyola University Chicago, Maywood, IL, USA.
概括
在临床试验中显示了低的中风率,通过逆流的横动脉再血管化 (TCAR) 提供了一种安全和创新的治疗方法.
科学领域:
- 血管外科
- 干预心脏病学
- 神经内血管治疗
背景情况:
- 冠状动脉疾病可能导致中风.
- 传统的动脉切除术和动脉支架有其局限性.
- 转动脉再血管化 (TCAR) 是一个创新的解决方案.
研究的目的:
- 审查TCAR的指示,技术,结果和使用情况.
- 总结程序细节,技术提示和并发症.
- 突出TCAR在治疗动脉疾病中的作用.
主要方法:
- 对PROOF可行性试验 (2009) 和ROADSTER试验 (2012) 的审查.
- 分析了141名患者的数据 (症状缩≥50%,无症状缩≥70%).
- 使用ENROUTE跨状神经保护系统对安全性和有效性的评估.
主要成果:
- 在ROADSTER试验中,30天内全中风率为1. 4%.
- 结合中风和死亡率为2. 8%;中风,死亡和心脏病发作率为3. 5%.
- 达到了当时预期的多中心CAS试验中报告的最低中风率.
结论:
- TCAR提供了一种安全,多功能和创新的动脉再血管化方法.
- 逆流技术可以最大限度地降低栓塞风险,特别是在高风险患者中.
- TCAR将成为一种关键的治疗方法,
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