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Method for constructing carotid artery occlusion intraoperative stent placement evaluation and decision system

A carotid artery and occlusion technology, which is applied in the field of building an evaluation and decision-making system for stent placement in carotid artery occlusion, can solve problems such as lack of objectivity and consistency, and achieve the effect of facilitating surgery and recovery

Pending Publication Date: 2020-11-06
天津市环湖医院
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  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0002] At present, there is no scoring decision system for the above disease conditions (whether a carotid stent should be placed at the same time for acute carotid occlusion due to atherosclerosis), and the treatment decision mainly depends on the operator's personal experience and preference, lacking objectivity and consistency

Method used

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  • Method for constructing carotid artery occlusion intraoperative stent placement evaluation and decision system
  • Method for constructing carotid artery occlusion intraoperative stent placement evaluation and decision system
  • Method for constructing carotid artery occlusion intraoperative stent placement evaluation and decision system

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Embodiment 1

[0020] A method for constructing an evaluation and decision-making system for stent placement in carotid artery occlusion surgery, comprising the steps of:

[0021] (1) ASPECTS score:

[0022] Before the operation, MRI examination was performed on the patient, and the DWI phase was used to score with reference to the Alberta Stroke Program Early CT Score scoring system, so as to obtain the ASPECTS score; at the same time, it was evaluated whether there was a large infarction in the basal ganglia area (infarct size > 2 / 3 of the basal ganglia) Area). (Note: The ASPECTS score is a commonly used clinical method to evaluate the size of the infarct area in the brain, with a total of 10 points. The lower the score, the larger the infarction area.)

[0023] (2) Intraoperative Dyna CT and DSA evaluation:

[0024] Perform angiography on the four arteries of the whole brain to evaluate the first-order compensation of the diseased vascular area (compensation of the circle of Willis: whe...

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Abstract

The invention discloses a method for constructing a carotid artery occlusion intraoperative stent placement evaluation and decision system, and belongs to the technical field of medical application. The method comprises the following steps of: (1), performing ASPECTS scoring; (2), performing intraoperative Dyna CT and DSA evaluation; (3), performing CASDES system determination; and (4), performingstent placement evaluation and decision. The method in the invention can well help a surgeon to individually and objectively evaluate and decide whether a carotid artery stent is placed or not in anoperation of each patient with acute atherosclerotic carotid artery occlusion, and is conducive to the recovery of health and smooth operation.

Description

technical field [0001] The invention belongs to the technical field of medical applications, and in particular relates to a method for constructing an evaluation and decision-making system for stent placement in carotid artery occlusion. Background technique [0002] At present, there is no scoring decision-making system for the above disease conditions (whether the carotid stent should be placed at the same time for acute carotid occlusion due to atherosclerosis), and the treatment decision mainly depends on the operator's personal experience and preference, lacking objectivity and consistency . Contents of the invention [0003] The purpose of the present invention is to provide a method for constructing an evaluation and decision-making system for stent placement in carotid artery occlusion. [0004] Above-mentioned technical purpose of the present invention is achieved through the following technical solutions: [0005] A method for constructing an evaluation and dec...

Claims

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Application Information

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IPC IPC(8): A61B5/02A61B5/00
CPCA61B5/0033A61B5/02007
Inventor 任贺成魏铭
Owner 天津市环湖医院