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自膨胀式支架在脑血管介入中的应用★

陈尼卡 蒋晓江 李训军 郎莹 马国重 刘雅贞

中国组织工程研究Issue(3):517-524,8.
中国组织工程研究Issue(3):517-524,8.DOI:10.3969/j.issn.2095-4344.2013.03.022

自膨胀式支架在脑血管介入中的应用★

Application of self-expanding stents in the cerebrovascular intervention

陈尼卡 1蒋晓江 1李训军 1郎莹 1马国重 1刘雅贞1

作者信息

  • 1. 中国人民解放军第三军医大学大坪医院野战外科研究所神经内科,重庆市400042
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摘要

Abstract

BACKGROUND: With the development of coronary vascular stents and peripheral vascular stent implantation technology, the coronary vascular stents and peripheral vascular stent technology, the self-expanding stent is becoming the key and hot product dedicated to the development by the domestic and international medical equipment manufacturers. As the brain vessel is quite tortuous and smal , and the risk of placement is much higher than other parts, the development of self-expanding stent is very difficult.The primary task is the appropriate choice of biomedical materials, while, how to improve the security of cerebrovascular disease scaffold materials and reduce the complications is the main point and difficulty. OBJECTIVE: To analyze the literatures on the application of different self-expanding stents in cerebrovascular intervention, and to compare the advantages of self-expanding stent implantation and traditional treatment methods of cerebrovascular diseases, as wel as to analyze the security and complications. METHODS: The literatures on the treatment of different cerebrovascular diseases with different self-expanding stents were col ected. The physical properties, chemical properties and biocompatibility of various types of self-expanding stents were comparatively analyzed which were clinical y used and in development. The disadvantages and advantages of different treatment methods were compared. RESULTS AND CONCLUSION: There stil lacks of a unified standard of endovascular treatment program. Each treatment method has their own advantages and disadvantages, the safety and efficacy of various treatment programs stil require large-scale, prospective, randomized control ed trials to be confirmed. With the update and development of self-expanding stent materials, the application of self-expanding stent has become the important treatment method for cerebrovascular diseases.

关键词

生物材料/生物材料综述/自膨胀式支架/支架置入/脑血管/颅内动脉疾病/颅内动脉瘤/颈动脉狭窄/镍钛合金/形状记忆效应/并发症/再狭窄

Key words

biomaterials/biomaterial review/self-expanding stents/stent implantation/intracranial arterial diseases/intracranial aneurysms/carotid stenosis/nickel-titanium alloy/shape memory effect/complications/restenosis

分类

医药卫生

引用本文复制引用

陈尼卡,蒋晓江,李训军,郎莹,马国重,刘雅贞..自膨胀式支架在脑血管介入中的应用★[J].中国组织工程研究,2013,(3):517-524,8.

中国组织工程研究

OACSCDCSTPCD

2095-4344

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