지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 295 - 300 (6page)
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초록· 키워드
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Purpose: During carotid angioplasty and stenting (CAS), hemodynamic instability (HDI) can occur, possibly causing post-procedural ischemic complications. The goal of this study was to investigate the risk factors of HDI focusing on characteristics of plaque. Materials and Methods: Thirty nine CAS patients were retrospectively evaluated for HDI. Prolonged HDI that lasted over 30 minutes was analyzed in relation to characteristics of calcified plaque. Results: Nineteen (48.7%) patients had HDI. Ten of the 19 had both bradycardia and hypotension, and nine had only bradycardia. All bradycardia was treated well with a transcutaneous temporary cardiac pacemaker. But eight patients presented with prolonged hypotension in spite of recovery of bradycardia.
Calcified plaque was a related factor associated with HDI (odds ratio, 8.571; 95% confidence interval, 1.321-55.62; p=0.024). Extensive and eccentric type calcified plaques were associated with prolonged hypotension (p=0.04, and p=0.028, respectively).
Conclusion: The calcification of plaque is a predictable factor of HDI during CAS, and its extensive and eccentric calcified plaques may be related to prolonged HDI.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis / 1991 / North American Symptomatic Carotid Endarterectomy Trial Collabo
Brooks WH / 2004 / Carotid angioplasty and stenting versus carotid endarterectomy for treatment of asymptomatic carotid stenosis: a randomized trial in a community hospital /
Brown MM / 1997 / Carotid endarterectomy vs carotid angioplasty / Lancet 349 : 880 ~ 881
Cayne NS / 2005 / Carotid angioplasty and stent-induced bradycardia and hypotension: impact of prophylactic atropine administration and prior carotid endarterectomy / J Vasc
Chalmers J / 1991 / Brainstem and bulbospinal neurotransmitter systems in the control of blood pressure / J Hypertens 9 : 675 ~ 694
Brooks WH / 2004 / Carotid angioplasty and stenting versus carotid endarterectomy for treatment of asymptomatic carotid stenosis: a randomized trial in a community hospital /
Brown MM / 1997 / Carotid endarterectomy vs carotid angioplasty / Lancet 349 : 880 ~ 881
Cayne NS / 2005 / Carotid angioplasty and stent-induced bradycardia and hypotension: impact of prophylactic atropine administration and prior carotid endarterectomy / J Vasc
Chalmers J / 1991 / Brainstem and bulbospinal neurotransmitter systems in the control of blood pressure / J Hypertens 9 : 675 ~ 694
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