MoMa脑保护装置在颈动脉狭窄支架置入术中的作用

被引：2

作者：

李东升 ^{[1
,2
]}

杨新星 ^{[1
,2
]}

李慎茂 ^{[1
]}

焦力群 ^{[1
]}

缪中荣 ^{[1
]}

王斌 ^{[1
]}

凌锋 ^{[1
]}

机构：

[1] 首都医科大学宣武医院介入放射诊断治疗科

[2] 福建省漳州市医院神经内科

来源：

中国脑血管病杂志 | 2011年 / 02期

关键词：

颈动脉狭窄; 支架; 治疗结果; MoMa脑保护装置;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

100204 [神经病学];

摘要：

目的探讨颈动脉狭窄支架置人术中使用MoMa脑保护装置的作用。方法回顾性分析2008年12月—2010年5月,对6例颈内动脉重度狭窄的患者行颈动脉支架置人术并使用MoMa脑保护装置的临床资料。结果①6例患者的临床症状均获得改善,NIHSS评分较术前提高1～2分。②保护装置的滤网中均可见捕获的小斑块,无一例患者发生栓子脱落事件,颈内动脉重度狭窄均得到改善(残余狭窄率均<30%)。③术后3 d及3个月复查头部MRI,均未发现新发的缺血病灶。有1例存使用MoMa脑保护装置过程中,血液从颈外动脉逆流而加用远端脑保护装置;1例术后出现急性冠状动脉综合征,经积极治疗后好转。6例患者术后3个月复查颈部血管彩超均未发现再狭窄。结论对颈动脉重度狭窄的患者行支架置入术时,使用MoMa脑保护装置是相对安全、有效的,但尚需大样本病例的进一步研究。

引用

页码：100 / 103

页数：4

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