Cutting Balloon Angioplasty for Carotid Artery In-stent Stenosis Supported by Three-dimensional Rotational Angiography With Automated Vessel Analysis Software
スポンサーリンク
概要
- 論文の詳細を見る
In-stent stenosis is a possible long-term complication of carotid artery stenting. A simple and safe technique of cutting balloon angioplasty is described for carotid in-stent stenosis. The stented vessel is imaged by three-dimensional (3D) rotational angiography, the acquired projection images are transferred to a workstation, and the stenotic lesion and implanted stent are reconstructed. The diameter of the implanted stent in the stenotic region is measured by automated analysis software. Cutting balloon angioplasty carries the risk of vessel injury by the cutting balloon microblades, but the implanted stent acts as a barrier to protect the vessel. Therefore, cutting balloon inflation up to the stent diameter is safe and results in maximal vessel dilation. The key to success is precise measurement of the stent diameter and choice of a cutting balloon catheter of the appropriate size. 3D rotational angiography provides high-quality images of the vasculature of a stented vessel and a reference for intervention based on absolute measurements. Cutting balloon angioplasty supported by 3D rotational angiography with automated vessel analysis software should be considered as a treatment strategy for high-grade carotid artery in-stent stenosis.
- 社団法人 日本脳神経外科学会の論文
- 2008-05-15
著者
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MIYAZAKI Takeshi
Department of Neurosurgery, Faculty of Medicine, Shimane University
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Sato Hidetoshi
Division of Cardiovascular Medicine, Toyohashi Heart Center
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Shimada Toshio
Division of Cardiovascular Medicine, Department of Internal Medicine, Shimane University Faculty of
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Shimada Toshio
Division Of Cardiobascular Medicine Shimane University Faculty Of Medicine
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Moritake Kouzo
Department of Neurosurgery, Shimane Medical University
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KOWARI KENTARO
Department of Gastroenterology and Hepatology, Shimane University School of Medicine
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Miyazaki Takeshi
Department Of Neurosurgery Shimane University Faculty Of Medicine
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AKIYAMA Yasuhiko
Department of Neurosurgery, Shimane University School of Medicine
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Akiyama Yasuhiko
Department Of Neurosurgery Shimane University School Of Medicine
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Akiyama Yasuhiko
Department Of Neurosurgery Kokura Memorial Hospital:(present Address)department Of Neurosurgery Shim
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Moritake Kouzo
Department Of Neurosurgery Kyoto University
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Kowari Kentaro
Department Of Neurosurgery Shimane University Faculty Of Medicine
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Kowari Kentaro
Department Of Gastroenterology And Hepatology Shimane University School Of Medicine
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Moritake Kouzo
Department Of Neurosurgery Shimane University Faculty Of Medicine
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Moritake Kouzo
Department Of Neurosurgery Shimane University School Of Medicine Izumo Shimane
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Miyazaki Takeshi
Department Of Neurosurgery Faculty Of Medicine Shimane University
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Sato Hidetoshi
Division Of Cardiovascular Medicine Department Of Internal Medicine Shimane University Faculty Of Me
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Shimada Toshio
Division Of Cardiovascular Medicine Department Of Internal Medicine Shimane University Faculty Of Me
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Miyazaki Takeshi
Department Of Materials Science And Technology Nagaoka University Of Technology
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Akiyama Yasuhiko
Department Of Neurosurgery Faculty Of Medicine Shimane University
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Miyazaki Takeshi
Department of Applied Chemistry, Faculty of Engineering, Osaka University
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