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[TCT2009]Gary M. Ansel教授谈无症状颈动脉狭窄患者的治疗
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International Circulation: What is your advice on the effective management of the complications from carotid stenting?
国际循环:您对颈动脉支架置入术引起的并发症有何治疗建议?
Prof. Gary M. Ansel: Well the common complications are typically embolic stroke and rarely intercranial bleed. For embolic stroke we have been very fortunate that we don’t see a cut-off. If we did we would try to capture the debris to try to re-establish blood flow in the brain. The second thing would be mostly for bleeding then we would reverse the anticoagulation, followed by contemplating whether or not we would have to do surgery to evacuate the bleeding or not.
Prof. Gary M. Ansel: 常见并发症是栓塞性中风,颅内出血很少见。对于栓塞性中风,我们非常幸运没有碰到过因此而死亡的病例。如果碰到这种情况,我们会通过大脑血运重建来捕获这些栓子。对于颅内出血,我们会停用抗凝药物,然后考虑是否必须做手术来止血。
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