新墨西哥大学神经外科，阿尔伯克基，NM，美国 Abstract <div>Background: Intraluminal free floating thrombus (FFT) of the cervical internal carotid artery (ICA) is a potentially high-risk lesion for recurrent ischemic strokes, with no single optimal treatment established. </div><div>摘要背景：颈内动脉（ICA）腔内游离漂浮血栓（FFT）是复发性缺血性卒中的潜在高危病变，目前尚无最佳治疗方法。</div> Objective: To describe a novel interventional technique for mechanical thrombectomy of intraluminal free floating thrombus using a distal protection filter device and aspiration. <div>目的：介绍一种利用远端保护滤器和抽吸装置对FFT进行机械取栓的新型介入技术。<br></div><div><br></div> Methods: We identified two cases where anticoagulation was contraindicated in patients with intraluminal FFT and minimal underlying stenosis. In both cases, a distal protection device was used to extract the thrombus under proximal flow arrest and aspiration. <div>方法：我们确定了两例腔内FFT和最小潜在狭窄患者禁用抗凝治疗的病例。在这两个病例中，在近端血流停止和抽吸的情况下，使用远端保护装置提取血栓。<br><div><br></div></div> Results: Mechanical thrombectomy was successful in both cases, one with “en bloc” removal of the thrombus and one with piecemeal removal. Neither case showed any residual angiographic stenosis or atherosclerotic disease. 结果：机械取栓术在两例患者中均获得成功，一例“整体”取栓，另一例逐段取栓。两例均未显示任何残余狭窄或动脉粥样硬化性疾病。<div><br></div> Conclusion: Mechanical thrombectomy using a distal protection device is a novel and technically feasible approach for select cases of cervical intraluminal thrombus. This may represent a therapeutic option in select cases with high risk of anticoagulation and in the unusual subset of younger patients with minimal atherosclerotidc disease.<div>结论：使用远端保护装置进行机械血栓切除术是一种新的、技术上可行的方法，可用于选择颈部腔内血栓病例。这可能是选择抗凝风险高的病例以及患有轻微动脉粥样硬化性疾病的年轻患者的一种治疗选择。</div> 下面是干货：<div>具体实施办法<div>1. 8FGuiding球囊导管置入颈总动脉。</div><div>2. FilterWire 保护伞到位</div><div>3. 球囊导管的球囊充盈</div><div>4. 释放保护伞</div><div>5. 保护伞不收的状态下，直接拉回球囊导管，同时抽吸导管。</div></div>