摘要
目的探讨颈动脉狭窄支架成形术中应对血流动力学变化处理措施的有效性。方法对前期80例患者术中未作特殊处理;后期125例行支架成形术的患者术中严格控制血压在个体正常值的下限,心率升高至80次/min 后开始扩张狭窄并放置支架。结果前80例患者并发症为8.8%,严格调控血流动力学的125例患者未见明显并发症。随访1个月～5年,均无严重再狭窄发生。结论重视调整颈动脉狭窄支架成形术中的血流动力学变化对减少并发症,提高治疗效果有益。
Objective To evaluate the validity of different treatment for minimizing the complications caused by hemedynamic changes during stenfing angioplasty of carotid stenoses. Methods There was no special measure for 80 of 205 cases during angioplasty. General blood pressure was controlled strictly to normal lower limit for avoiding intracranial reperfusion bleeding and angioplasty was done after elevated heart rate to 80 per minute in the remaining 125 cases. Results There were 8. 8% complications in 80 cases and no obviously complication occurred in 125 cases controlling hemodynamic changes. Followup period from 1 months to 5 years, there was no marked restenoses. Conclusion Regulating hemedynamic changes should be emphasized for reducing complications and improving the effect of carotid artery stenting.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2007年第4期230-232,共3页
Chinese Journal of Surgery
