摘要
目的观察血管内支架成形术治疗颈动脉狭窄的安全性和短期疗效。方法回顾性分析行血管内支架成形术的36例症状性颈动脉狭窄患者的临床资料，重点对手术方法、并发症、疗效进行总结。结果所有患者均有不同程度的反复短暂性脑缺血发作（TIA）或脑梗死，均经DSA证实有颈动脉狭窄；所有患者都顺利完成支架置入，治疗前责任病变血管平均狭窄率为（78．8±10．7）％，治疗后病变血管平均狭窄率为（11．6±7．8）％，两者比较差异有显著性（P〈0．01）；有9例患者出现术后低血压、心动过缓，有3例出现高灌注综合征，无1例发生脑梗死；术后随访6～12月，无颈动脉支架置入后的再狭窄的发生，未见TIA及症状性脑梗死发生。结论血管内支架成形术是治疗颈动脉狭窄有效、安全的方法。
Objective To explore the safety and short-term effect of stent-assisted angioplasty in treating carotid stenosis. Methods We retrospectively analyzed the clinical data of 36 patients with symptomatic carotid stenosis,especially summarized the operative methods,complications and curative effects. Results All the patients had suffered recurrent attacks of transient ischemia attack（TIA）or cerebral infarction to some extent. All of them also suffered carotid stenosis which was confirmed by the digital subtraction angiography （DSA）. The stents were implanted successfully in all the patients. According to the measurements by NASCET method,the average stenosis rate of pre-operative was （78. 8 ± 10. 7）% while the one of post-operative was （11.6 ± 7. 8）%. It is significantly different between the both rates（P〈0. 01）. The complications included hypotension together with bradyeardia in 9 patients and hyperperfusion syndrome in 3 patients. No cerebral infarction occurred. During the follow-up 6-12 months, there was no re-carotid stenosis,TIA or cerebral infarction was found in all the patients. Conclusions The stent-assisted angioplasty is safe and effective in treatment of carotid stenosis.
出处
《卒中与神经疾病》
2008年第3期160-163,共4页
Stroke and Nervous Diseases
