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目的探讨颈动脉狭窄患者支架治疗中的脑保护装置的有效性和安全性及治疗意义。方法对14例颈动脉狭窄患者进行血管内支架治疗。全部应用了脑保护装置(滤网型)。结果14例患者成功地释放了18枚自膨式支架。其中2例发生微栓子脱落轻度卒中,治疗1～3d完全恢复,颈动脉狭窄6例出现短暂性心率减慢和低血压。随访期所有患者均未发生脑梗死。结论在支架治疗中,脑保护装置的应用可减少治疗中的神经并发症,是一种有效和安全的治疗方法。
Objective To investigate the effectiveness, safety and therapeutic value of brain protection device in the treatment of carotid artery stenosis. Methods 14 patients with carotid artery stenosis were treated with endovascular stent. All applied brain protection device (filter type). Results Fourteen patients successfully delivered 18 self-expanding stents. Two of the patients had mild stroke with microemboli shedding, completely recovered from 1 to 3 days after treatment, and 6 cases of carotid artery stenosis had transient heart rate slowdown and hypotension. All patients in the follow-up period had no cerebral infarction. Conclusion In the treatment of stents, the application of brain protection devices can reduce the complications of the treatment of nerve, which is an effective and safe treatment.