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71.
Mishima K Sawada S Tanigawa N Okuda Y Kobayashi M Koyama T 《Cardiovascular and interventional radiology》1999,22(2):155-158
Four patients were treated by placement of an expandable metallic stent (two Gianturco Z-stents, two Ultraflex stents) for malignant colorectal strictures. All four patients were able to defecate after stent placement. Stent migration was recognized in one patient. Two patients suffered from tenesmus after stent placement. 相似文献
72.
(Received for publication on Oct. 6, 1997; accepted on July 7, 1998) 相似文献
73.
P. Rossi M. Bezzi F. M. Salvatori L. Broglia F. Maccioni G. Pizzi S. Abbondanza G. Bonomo 《European radiology》1996,6(5):741-747
The aim of our study was to evaluate the performance and efficacy of a new self-expanding stent (nitinol Strecker stent) in the transjugular intrahepatic portosystemic shunt (TIPS) procedure. We have successfully placed 64 nitinol Strecker stents in 48 patients. The average portosystemic gradient decreased from 22 to 11 mm Hg. Balloon dilatation was necessary in 12 of 35 angiographically controlled cases at 5 days (34%), because of incomplete stent expansion, small thrombi within the stent or obstruction. At 1–6 months stent malfunctions occurred in 8 of 23 patients who underwent control angiography (34%) and at 6–24 months in 6 of 7 patients (85%). Rebleeding occurred in 2 of 39 patients (follow-up > 1 month) (5%) and temporary crises of de novo encephalopathy were observed in 11 of 48 patients (23%). Refractory ascites completely resolved in 4 of 6 patients (66%) and improved in the remaining 2 cases. Compared with other self-expanding stents, nitinol Strecker stents seem to be equally effective in TIPS; no increase in complication rate was observed, either clinical or stent-related.
Correspondence to: P. Rossi 相似文献
74.
目的 探讨经皮冠状动脉内支架置入术治疗复杂型冠状动脉病变的疗效。方法 对8例19支复杂型冠状动脉血管病交行球囊预扩张后,植入25枚支架,其中前降支9枚,回旋支6枚,右冠脉10枚。结果 术后经冠脉造影证实狭窄消失,血流TIMI Ⅲ级,支架置入的成功率100%,1例出现穿刺部位出血,无其他并发症,随诊1~18个月,1例术后2个月再发心绞痛。结论 冠脉内支架术治疗复杂型冠状动脉病变是一种完全有效的介入治疗技术,其成功率高,临床疗效好,并发症少。 相似文献
75.
目的 研究食管支架术后不同时间局部食管组织中炎性细胞浸润及分布的变化,以及与再狭窄形成的关系。方法 采用免疫组化(ABC法)检测支架术后1、2、4、8周组织中CD3、CD19、CD68的表达状况,从而反映出巨噬细胞(MΦ)、T-淋巴细胞(T-LC)、B-淋巴细胞(B-LC)的浸润及分布状况。制备再狭窄组织的细胞悬液,采用流式细胞分析法检测组织中3种细胞的含量变化。采用特殊染色法分析组织中肥大细胞( 相似文献
76.
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78.
Mataichi Ohkubo Ken Takahashi Masahiko Kishiro Katsumi Akimoto Yuichiro Yamashiro 《Pediatrics international》2004,46(1):39-47
Abstract Background : Use of balloon angioplasty or stent implantation has been reported to be effective in relieving coarctation of the aorta. However, restenosis frequently occurs after balloon angioplasty for native aortic coarctation in small infants, and sometimes develops after stent implantation because of vessel growth. The causes of restenosis remain uncertain. The purpose of this study was to assess the histologic differences in vascular responses to angioplasty using conventional balloon, radiofrequency thermal balloon (RFTB), or stent for experimental aortic coarctation. Methods : The authors surgically created an aortic coarctation model using 14 puppies. Angioplasty using conventional balloon, RFTB, or stent was performed 1 month after the initial operation. At the acute or chronic phase after angioplasty, the animals were killed and histologic studies were performed. Results : More vascular injuries were noted in the specimens from animals undergoing conventional angioplasty than in those with RFTB or stent. However, neointimal hyperplasia was seen more often after RFTB or stent because of the proliferation of smooth muscle cells from the tunica media, caused by secretion of growth factors. Apoptosis reached a peak 1?2 weeks after angioplasty, regardless of the type of intervention. Conclusions : The authors conclude that angioplasty with RFTB or stent can provide relatively small injuries in the vessel wall for aortic coarctation, but care must be taken to prevent restenosis caused by intimal hyperplasia, because neointima hyperplasia is more frequent after RFTB or stent. 相似文献
79.
丹参片在冠状动脉支架介入治疗后应用的初步观察 总被引:2,自引:0,他引:2
目的观察丹参片与抗血小板药物联合应用对冠状动脉支架介入治疗后血栓等术后冠状动脉事件的预防作用。方法选择支架植入成功的冠心病患者82例,随机分为治疗组(42例)和对照组(40例),两组均服用支架植入术常规用抗血小板药,治疗组加用丹参片,每次4片,每日3次。采用双缩尿法、激光散射比浊法和流式细胞术检测两组患者行支架植入术前、术后即刻和术后30 d时的血浆纤维蛋白原(Fg)、C反应蛋白(CRP) 和血小板膜糖蛋白((3P)Ⅱb/Ⅲa、P选择素(CD62P)的变化。结果与对照组比较,治疗组血浆CRP显著下降 (P<0.05),GPⅡb/Ⅲa和CD62P也有降低的趋势。经6个月临床随访,治疗组心绞痛复发5例(11.9%),未发生支架术后再狭窄;对照组心绞痛复发21例(52.5%),支架术后再狭窄9例,心肌梗死3例;治疗组心绞痛复发率显著低于对照组(P<0.05)。结论丹参片与抗血小板药联合应用能预防冠状动脉支架血栓等术后冠状动脉事件,且疗效优于单用抗血小板药。 相似文献
80.