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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.11
- 수록면
- 260 - 266 (7page)
- DOI
- https://doi.org/10.5469/neuroint.2021.00353
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초록· 키워드
오류제보하기
Purpose: Carotid artery stenting (CAS) is an established treatment for symptomatic carotid artery stenosis as an alternative to carotid endarterectomy. A variety of techniques and devices have been devised to minimise periprocedural stroke risk using either proximal or distal embolic protection. This study presents a method of embolic protection during CAS?the CaRotid Artery Filtering Technique (CRAFT).
Materials and Methods: The CRAFT technique employs aspects of both proximal and distal embolic protection. The CASPER RX stent (MicroVention, Tustin, CA, USA), which is a double-layered, closed-cell, micromesh nitinol stent, is deployed across the carotid artery stenosis with the assistance of a FlowGate balloon guide catheter (Stryker Neurovascular, Fremont, CA, USA). The partially deployed stent acts as a distal filter while the balloon guide is deflated midway during stent deployment to prevent distal plaque embolisation, followed by completion of stent deployment and angioplasty.
Results: A total of 94 patients underwent CAS using the CRAFT technique between June 2016 and March 2021. Successful stent deployment was achieved in all patients. Preliminary results demonstrated acute stent occlusion in 6 patients (6.4%) and distal embolic stroke in 5 patients (5.3%). The median procedural fluoroscopy time was 34 minutes with an interquartile range of 22 to 55 minutes.
Conclusion: The CRAFT technique of CAS presented by this study can be applied in the treatment of symptomatic carotid artery stenosis in both emergency and elective procedure settings with a high technical success and low distal embolic stroke risk.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Müller MD / 2020 / Carotid artery stenting versus endarterectomy for treatment of carotid artery stenosis / Cochrane Database Syst Rev 2:CD000515
Bonati LH / 2018 / Restenosis and risk of stroke after stenting or endarterectomy for symptomatic carotid stenosis in the International Carotid Stenting Study (ICSS): secondary analysis of a randomised trial / Lancet Neurol 17:587~596
Bonati LH / 2015 / Long-term outcomes after stenting versus endarterectomy for treatment of symptomatic carotid stenosis:the International Carotid Stenting Study (ICSS) randomised trial / Lancet 385:529~538
Lamanna A / 2019 / Carotid artery stenting in acute stroke using a microporous stent device : a single-center experience / World Neurosurg 127:e1003~e1012
Doig D / 2016 / Predictors of stroke, myocardial infarction or death within 30 days of carotid artery stenting : results from the International Carotid Stenting Study / Eur J Vasc Endovasc Surg 51:327~334
Bonati LH / 2018 / Restenosis and risk of stroke after stenting or endarterectomy for symptomatic carotid stenosis in the International Carotid Stenting Study (ICSS): secondary analysis of a randomised trial / Lancet Neurol 17:587~596
Bonati LH / 2015 / Long-term outcomes after stenting versus endarterectomy for treatment of symptomatic carotid stenosis:the International Carotid Stenting Study (ICSS) randomised trial / Lancet 385:529~538
Lamanna A / 2019 / Carotid artery stenting in acute stroke using a microporous stent device : a single-center experience / World Neurosurg 127:e1003~e1012
Doig D / 2016 / Predictors of stroke, myocardial infarction or death within 30 days of carotid artery stenting : results from the International Carotid Stenting Study / Eur J Vasc Endovasc Surg 51:327~334
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