摘要
目的探讨Wingspan支架治疗症状性颅内动脉狭窄的安全性、可行性和并发症。方法应用Wingspan支架治疗90例(92个部位)症状性颅内动脉狭窄患者,观察其症状改善、狭窄率及严重不良事件的发生率。术后行脑血管造影术或CTA血管成像观察支架内再狭窄发生率。结果患者术前平均狭窄率为(83.4±9.5)%,Wingspan支架置入后平均残余狭窄率为(21.8±9.8)%。临床随访1～40个月,平均(16.7±10.3)个月,围手术期总并发症发生率为6.5%(6/92),30d内任何脑卒中和31d～1年内同侧缺血性卒中的发生率为10.9%。30例患者接受了血管造影复查,6个月再狭窄率为10.0%(3/30)。结论 Wingspan支架治疗症状性颅内动脉狭窄具有较好的安全性和临床疗效,围手术期总的并发症发生率较低。
Objective To investigate the safety,feasibility and complications of the Wingspan stent in treatment of symptomatic intracranial arterial stenosis. Methods Treatment with Wingspan stents was attempted in 90 （ 92 Lesions ） patients with symptomatic intracranial artery stenosis. The clinical outeome,stenosis improvement and major complications were abserved. Conventional cerebral angiography or CTA was performed after stenting. Rsults The average degree of stenosis before stenting preeedure was（83.4 ± 9.5）%,the residual stenosis degree after stenting was（21.8 ± 9.8）%. The frequency of any stroke within 30 days or ipsilateral ischemic stroke between 30 days and 12 months was 10.9% during a mean follow-up time of （16.7 ±10：3）months （ ranged between 1-40 months ） .Cerebral angiography check-up was conducted in 30 eases.The frequency of restenosis was 10.0%（3/30）at 6 months. Conclusion Symptomatic intraeranial artery stenosis can be treated with Wingspan stent with acceptable safety and clinic outcome. The overall perioperative complications is low.
出处
《中国医药科学》
2012年第8期186-187,189,共3页
China Medicine And Pharmacy
关键词
颅内动脉狭窄
支架
并发症
Intracranial arterial stenosis
Stent
Complieation
