摘要
目的探讨颈动脉血管成形和支架植入术（CAS）治疗颅外颈动脉狭窄的安全性及治疗效果。方法回顾性分析199例颅外颈动脉狭窄病人的临床资料。病人均应用血管内支架成形术,其中应用脑保护装置108例,应用自膨胀支架197例。结果血管狭窄程度由支架植入前的（74.5±13.9）%降至支架植入后的（10.3±7.8）%（P〈0.01）,围手术期无大卒中及死亡发生,出现小卒中3例（1.5%）。179例病人随访6~48个月,平均18.7个月,发生短暂性脑缺血发作（TIA）和脑卒中各2例,死亡2例。结论 CAS是颅外颈动脉狭窄的一种安全、有效的治疗手段。
Objective To study the safety and therapeutic outcome of carotid angioplasty and stenting（CAS） for extracranial carotid stenosis.Methods Clinical data of 199 patients with extracranial carotid stenosis were analyzed retrospectively,who were all treated by CAS.The cerebral protection device（CPD） was used in 108 patients and self-expandable stent in 197.Results The average stenosis rate was reduced from 74.5±13.9 % before operation to 10.3±7.8 % after operation（P 0.01）.No death or major stroke occurred,and minor stroke occurred in 3 patients（1.5%） during the perioperative period.Follow-up was performed on 179 patients for 6 to 48 months with a mean time of 18.7 months.Transient ischemic attack occurred in 2 patients,stroke in 2 and death in 2.Conclusions CAS is a safe and effective strategy for extracranial carotid stenosis.
出处
《中国微侵袭神经外科杂志》
CAS
2012年第4期164-166,共3页
Chinese Journal of Minimally Invasive Neurosurgery
