頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥1課件

1、頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)1頸動(dòng)脈狹窄的診斷頸動(dòng)脈狹窄的診斷支架治療的病例選擇支架治療的病例選擇圍手術(shù)用藥圍手術(shù)用藥頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)2頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)3albers gw, chair; j. chest 1998; 114:683s698s 頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)4頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)5paul hl kao頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)6l動(dòng)脈粥樣硬化動(dòng)脈粥樣硬化l纖維肌發(fā)育不良纖維肌發(fā)育不良(fibromuscular

2、dysplasia)(fibromuscular dysplasia)l高安氏病高安氏?。╰akayasus arteritistakayasus arteritis）l血管炎（血管炎（vasculitis）(包括放療后包括放療后)l與神經(jīng)纖維瘤病相關(guān)的狹窄與神經(jīng)纖維瘤病相關(guān)的狹窄頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)7頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)8b-modepower angiocolor mappingdopplertcd頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)9頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)10頸動(dòng)脈狹窄的診斷支架治療的病

3、例選擇圍手術(shù)用藥(1)11頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)12頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)13頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)14頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)15頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)16頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)17figure 3. annual risk of stroke or vascular death among patients in various high risk subgroups. wilterdink jl, easton jd. ar

4、ch neurol 1992; 49:857 863. 頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)18頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)19頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)20carotidcarotidendartereendarterectomyctomy(cea)(cea) is a surgical procedure removing plaque material from the lining of an artery頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)21the procedure to remove plaque bui

5、ld-up from an artery. a surgeon scrapes away the arterial lining, where plaque has formed, and the artery is stitched closed.nascet. n engl j med 1991;325:445-453 ecst. lancet 1991;337:1235-1243頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)22lhigh or bifurcation lesions high or bifurcation lesions 高位或分叉部病變高位或分叉部病變llow o

6、r ostial cca lesions low or ostial cca lesions 低位或靠近低位或靠近c(diǎn)cacca開口處開口處lneck radiation neck radiation 頸部放射治療頸部放射治療lprior radical neck dissection prior radical neck dissection 既往頸部切開術(shù)既往頸部切開術(shù)lprior carotid endarterectomy prior carotid endarterectomy 既往既往ceacealshort, obese necks short, obese necks 頸部粗短頸

7、部粗短lspinal immobility due to congenital /acquired spinal immobility due to congenital /acquired conditions conditions 先天或后天性頸椎不穩(wěn)定先天或后天性頸椎不穩(wěn)定ladditional stenoses involving the ipsilateral additional stenoses involving the ipsilateral siphonsiphon伴隨有同側(cè)虹吸段狹窄伴隨有同側(cè)虹吸段狹窄頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)23頸動(dòng)脈狹窄的診斷

8、支架治療的病例選擇圍手術(shù)用藥(1)24頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)25頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)26l 頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)27頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)28頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)29頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)30頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)31頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)32頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)33頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)34頸動(dòng)脈狹窄的診斷支

9、架治療的病例選擇圍手術(shù)用藥(1)35頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)36頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)37頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)38頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)39頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)40頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)41頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)42頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)43頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)44頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)45頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)46頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)47頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)48頸動(dòng)脈狹窄的診斷支架治療的病例選擇圍手術(shù)用藥(1)49頸動(dòng)脈狹窄的診斷支架治療的病例