1 / 31

Inspiration from SAMMPRIS Trial

Inspiration from SAMMPRIS Trial. 对颅内动脉支架治疗的反思. 第三军医大学附属新桥医院神经内科. 重庆 400037. 帅杰 neurosj@hotmail.com. SAMMPRIS Trial S tenting and A ggressive M edical M anagement for P reventing R ecurrent stroke in I ntracranial S tenosis 支架 ( Wingspan)+. 积极药物治疗. 积极药物治疗. 主要终点:.

Télécharger la présentation

Inspiration from SAMMPRIS Trial

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.


Presentation Transcript

  1. Inspiration from SAMMPRIS Trial 对颅内动脉支架治疗的反思 第三军医大学附属新桥医院神经内科 重庆 400037 帅杰 neurosj@hotmail.com

  2. SAMMPRIS Trial Stenting and Aggressive Medical Management for Preventing Recurrent stroke in Intracranial Stenosis 支架 (Wingspan)+ 积极药物治疗 积极药物治疗

  3. 主要终点: *: fewer than half the patients have been followed for one year Source: Fiorella, D. Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis: 30-Day Results of the SAMMPRIS Trial, SNIS Annual Meeting, July 2011.

  4. 支架治疗在防止30天后的致死及致残性卒中担当重要角色, 如果能保证围手术期 后主要并发症风险控制在可以接受的水平,那么支架治疗的作业会是怎样的呢? *SAMMPRIS 平均随访时间:11.9M

  5. Wingspan支架治疗症状性重度颅内狭窄结果的系统性回顾Wingspan支架治疗症状性重度颅内狭窄结果的系统性回顾 姜卫剑教授Stroke published online Jun2,2011 • • 研究背景及目的: Wingspan支架治疗症状性重度颅内狭窄的长期随访结果非常有限。通过我们中心的Wingspan支架组的数据与WASID历史 数据相对照,我们来检验那种对高危病人来说,与单纯的抗血栓药物治疗相比,支架治疗是无益的假说。 • • • • • 研究对象: 2007年1月至2009年2月颅内动脉粥样硬化狭窄>=70%,症状在90天内的100例病人使用Wingspan支架治疗,其主要研究 终点(30天内的卒中及死亡、同侧缺血性卒中)一年的风险与WASID重度狭窄病人对照。 结果: 支架组的30天内的卒中及死亡、加上30天后的同侧卒中,一年累计概率为7.3%,低于WASID中同类病人18%,P<0.05

  6. CASE 1 很一般般的手术,关键是手术者要 知道是要解决什么问题!

  7. CT angiography

  8. Perfusion CT

  9. CTA assists PTAS design

  10. PTAS Wingspan 2.5*9mm

  11. CASE 2 手术者要在术前明确支架治疗重要的是 解决什么问题?

  12. CASE 3 支架技术决定了术后是否出现穿支事件

  13. 技术+认识

More Related