CAJ | 학술논문

目的探讨颈动脉狭窄支架置入术(CAS)中使用Mo.Ma脑保护装置的价值. 方法回顾性分析青岛市中心医院神经内科自2009年3月至2011年9月收治的8例行CAS并使用Mo.Ma脑保护装置的颈内动脉重度狭窄患者的临床资料. 结果 Mo.Ma脑保护装置保护成功率及CAS手术成功率均为100％,颈内动脉重度狭窄均有改善,残余狭窄率均低于30％；1例回抽血液中见捕获的小斑块,无患者发生栓子脱落事件;术后复查头部MRI,未发现新发的缺血病灶；术后1个月复查颈部血管彩超均未发现再狭窄. 结论对颈内动脉重度狭窄的患者行CAS时,使用Mo.Ma脑保护装置安全、有效,但仍需大样本病例进一步证实.
목적 탐토경동맥협착지가치입술(CAS)중사용Mo.Ma뇌보호장치적개치. 방법 회고성분석청도시중심의원신경내과자2009년3월지2011년9월수치적8례행CAS병사용Mo.Ma뇌보호장치적경내동맥중도협착환자적림상자료. 결과 Mo.Ma뇌보호장치보호성공솔급CAS수술성공솔균위100％,경내동맥중도협착균유개선,잔여협착솔균저우30％；1례회추혈액중견포획적소반괴,무환자발생전자탈락사건;술후복사두부MRI,미발현신발적결혈병조；술후1개월복사경부혈관채초균미발현재협착. 결론 대경내동맥중도협착적환자행CAS시,사용Mo.Ma뇌보호장치안전、유효,단잉수대양본병례진일보증실.
Objective To investigate the safety and effectiveness of Mo.Ma proximal cerebral protection device during carotid artery stenting (CAS).Methods Eight patients with high-grade carotid artery stenosis,admitted to and underwent carotid artery stenting using Mo.Ma cerebral protection device in our hospital from March 2009 to September 2011,were chosen in our study; their clinical data were retrospectively analyzed.Results The device success rate and procedural success rate were 100％,and the residual stenosis was less than 30％.The debris was captured in the aspirated blood in one patient.No patient had deficit caused by emboli.No new ischemic lesions were found in post-operative MRI-diffused weighted imaging,and no restenosis was noted under neck vascular ultrasound one month after the operation.Conclusion The Mo.Ma proximal cerebral protection device is safe and effective for patients with high-grade internal carotid stenosis undergoing carotid artery stenting,but the prospective multicenter registry trials need to date.