Abstract

【目的】重症心疾患合併頚動脈狭窄症に対して頚動脈ステント留置術(carotid artery stenting;CAS)周術期の徐脈,低血圧による心筋虚血,血行動態破綻の予防目的でIntra-aortic balloon counterpulsation(IABP)併用CASを行った.【結果】(症例1)症候性頚動脈狭窄症,重度大動脈弁狭窄症(aortic valve stenosis;AS)合併,弁置換術前.(症例2)無症候性頚動脈狭窄症,3枝病変狭心症合併,バイパス術前.IABPカテーテル(8Fr)は大腿動脈から誘導,合併症なくCASを施行できた.【結論】IABP併用CASは心合併症予防に有用でAS等重症心疾患合併症例にも行える可能性がある.

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