摘要
目的 观察颈动脉支架血管成形术(CAS)治疗颈内动脉假性闭塞(APO)的安全性和有效性.方法 18例患者行颈动脉支架血管成形术,观察患者术后并发症发生率和狭窄复发率等.结果 14例患者术后未见颅内缺血事件,1例患者术后死于心肌梗死,3例患者复查B超提示支架内再狭窄,行球囊扩张支架,复查见支架形态良好,未见再狭窄和血栓形成.1例患者术后消化道出血停止抗凝治疗后出现肢体乏力,CT提示同侧脑梗死,经保守治疗后症状好转,继续口服药物抗凝.结论 CAS治疗APO创伤小、临床效果好,但需把控处理时间窗,选择Ⅰ期处理还是Ⅱ期处理,同时围手术期药物治疗也很重要.
Objective To observe the safety and efficacy of carotid stent angioplasty(CAS)in the treatment of internal carotid artery pseudo-occlusion.Methods Carotid stent angioplasty was performed in 18 patients.The incidence of postoperative complications and the recurrence rate of stenosis were observed.Results 14 cases without intracranial ischemic events,1 case died of myocardial infarction after operation,3 cases were confirmed by B-ultrasound to indicate stent restenosis,balloon dilated stent was performed,and the stents were found to be in good shape.No restenosis and thrombus was occurred.1 cases occurred postoperative gastrointestinal bleeding after stopping anticoagulant treatment.CT showed ipsilateral cerebral infarction.After conservative treatment,symptoms were improved.Conclusion Carotid stent angioplasty(CAS)for internal carotid artery pseudo-occlusion has little trauma and good clinical effect,but it is also very important to control the time window and choose whether to treat it in one stage or two.At the same time,it is also very important to treat drugs in perioperative period.
出处
《浙江临床医学》
2019年第1期78-79,82,共3页
Zhejiang Clinical Medical Journal
基金
浙江省嘉兴市科技计划项目(2015AY23013).
关键词
颈动脉支架血管成形术
颈动脉假性闭塞
疗效
Carotid stent angioplasty
Atheromatous pseudo-occlusion
Curative effect
