The suitability of expanded PTFE for carotid patch angioplasty.
The suitability of expanded PTFE for carotid patch angioplasty.
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DOI：
10.1007/bf02009445
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发表时间：
1990-05-01
影响因子：
1.5
通讯作者：
Linehan, R L
中科院分区：
文献类型：
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作者：
LeGrand, D R;Linehan, R L
自1985年6月至1988年12月，175例患者在常规扩张聚四氟乙烯补片血管成形术的基础上施行了204例颈动脉内膜切除术。2名患者(1%)发生中风，术后即刻没有短暂性脑缺血发作或死亡。所有颈动脉内膜切除术均在无脑监护的情况下行腔内分流术。颈动脉内膜切除术的适应症是有症状(83%的患者)或没有颈内动脉粥样硬化性狭窄的症状(12.7%的患者)。分别于6个月、12个月和每年进行神经功能评定、多普勒和实时超声检查。在随访期内，有1例无症状闭塞和2例高度症状性狭窄需要再次手术。
From June 1985 to December 1988, 175 consecutive patients underwent 204 carotid endarterectomies with routine use of expanded PTFE patch angioplasty. Two patients (1%) suffered strokes and there were no transient ischemic attacks or deaths in the immediate postoperative period. All carotid endarterectomies were performed with an intraluminal shunt without cerebral monitoring. The indications for carotid endarterectomy were symptoms (83% of patients) or no symptoms of internal carotid artery atherosclerotic stenoses (12.7% of patients). Neurological assessment, Doppler and real-time ultrasound were performed at six months, twelve months and then annually. Over the follow-up period there were one asymptomatic occlusion and two high grade symptomatic stenoses which required reoperation.