关键词: Balloon angioplasty Calcification Carotid artery stenting Endovascular treatment Non-slip element balloon Predilatation

来  源:   DOI:10.25259/SNI_923_2023   PDF(Pubmed)

Abstract:
UNASSIGNED: Treatment of calcified lesions with conventional angioplasty balloons can be difficult due to insufficient lumen expansion, high dissection rates, and repeated revascularization. We report a case in which a scoring balloon was used in lesions resistant to angioplasty with a semi-compliant balloon.
UNASSIGNED: A 72-year-old man presented with severe stenosis and a highly calcified lesion in the right cervical internal carotid artery. Right carotid artery stenting (CAS) was planned to prevent future ischemic stroke events. Conventional semi-compliant balloon angioplasty was unsuccessful. Three inflations of a non-slip element (NSE) percutaneous transluminal angioplasty (PTA) scoring balloon (Nipro, Osaka, Japan) successfully achieved CAS without complications.
UNASSIGNED: This is the first report to describe the use of this scoring balloon in de novo carotid artery disease. NSE PTA scoring balloon catheters can be a useful option for refractory, highly calcified stenosis.
摘要:
由于管腔扩张不足,使用常规血管成形术球囊治疗钙化病变可能很困难,高夹层率,反复血运重建。我们报告了一个案例,其中评分球囊用于抗半顺应性球囊血管成形术的病变。
一名72岁男子表现为右颈部颈内动脉严重狭窄和高度钙化病变。计划右颈动脉支架置入术(CAS)以预防未来的缺血性卒中事件。常规的半顺应性球囊血管成形术不成功。防滑元件(NSE)经皮腔内血管成形术(PTA)评分球囊(Nipro,大阪,日本)成功实现了CAS而没有并发症。
这是第一个描述这种计分球囊在新生颈动脉疾病中使用的报告。NSEPTA评分球囊导管可以是一个有用的选择,高度钙化的狭窄.
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