教培用血管内支架成型术治疗颈动脉狭窄课件.ppt

1、血管内支架成型术治疗颈动脉狭窄文档pptBasilar 65%BX 3.预防操作过程中的脑栓塞lateral view AP view follow 3mleft ICA 70%BX 4.Express 3.球囊扩张式支架(Balloon Inflation Stent)R-CCA 58M TIA 90%L-CCAR-CCA 58M TIA 90%L-CCA狭窄程度70%，但有明显的溃疡，或症状明确者M54,TIA,82 mm in lengthR-ICA 60%TIAM54,TIA,82 mm in length阿司匹林 325mg,术前3天2000年进行的颈动脉内膜切除术超过150,000

2、例，总计所有的支架成形术5210例手术治疗组2年脑卒中发生率 9%Occlusion of R-ICAOcclusion of R-ICABasilar 65%BX 3.手术治疗组2年脑卒中发生率 9%1st Balloon(3.Occlusion of R-ICAC2水平以上，所有颅内，椎动脉手术后脑卒中发生率降低的绝对值 17%，相对值65%Before stenting血管狭窄程度超过70%pre tx after stent post-angioplasty脑CT,MRI（DW-MRI）R-CCA 58M TIA 90%L-CCA513 stent预防操作过程中的脑栓塞Easy Wallstent 960,4mm balloon(1st),6mm ballon(2nd)lateral view AP view follow 3m手术治疗组2年脑卒中发生率 9%M44,SAH,Basilar Aneurysm,proximal stenosisEasy Wallstent 960,4mm balloon(1st),6mm ballon(2nd)