摘要
目的探讨边支保护技术在颅内动脉粥样硬化性狭窄介入治疗中的作用。方法回顾性分析2018年11月至2021年5月在南京大学医学院附属鼓楼医院完成颅内动脉粥样硬化性狭窄介入治疗的患者资料,分析边支保护技术在并发症防治中的作用,相关评价指标包括(1)影像学:靶病变血管及分支血管的血流通畅情况;(2)临床表现:72 h内的缺血性卒中或短暂性脑缺血发作(TIA)事件及1个月随访结果。结果共9例患者在行颅内动脉粥样硬化性狭窄介入治疗过程中进行了边支保护,术后靶血管血流均明显改善,且病变累及的分支血管血流没有受到影响;术后72 h内及1个月的随访,均无任何缺血性卒中及TIA事件发生。结论合理地应用边支保护技术,可有效减少颅内动脉粥样硬化性狭窄介入治疗围手术期的并发症。
Objective To investigate the application of side branch protection technique in interventional treatment of intracranial arteriosclerosis stenosis.Methods We reviewed the patients who underwent interventional treatment of intracranial arteriosclerosis stenosis from November 2018 to May 2021 in Affiliated Drum Tower Hospital of Nanjing University Medical School,and analyzed the role of side branch protection technique in the prevention and treatment of complications.Relevant evaluation indicators including:(1)imaging:patency of blood flow in target vessels and branch vessels;(2)clinical presentation:ischemic stroke or transient ischemic attack(TIA)events within 72 hours and one month follow-up results.Results A total of 9 patients underwent side branch protection during interventional treatment for intracranial arteriosclerosis stenosis,the blood flow of target vessels was improved obviously after operation,and the blood flow of the affected branches was not affected;no stroke or TIA events occurred in 72 hours after operation and one month follow up.Conclusions Proper application of side branch protection technique can reduce the perioperative complications effectively during the interventional treatment for intracranial arteriosclerosis stenosis.
作者
端光鑫
罗云
李敬伟
那世杰
Duan Guangxin;Luo Yun;Li Jingwei;Na Shijie(Department of Neurology,Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing 210008,China;Department of Neurosurgery,Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing 210008,China)
出处
《中国医师杂志》
CAS
2022年第2期201-205,共5页
Journal of Chinese Physician
基金
国家自然科学基金(81671140)
南京市卫生青年人才项目(QRX17002)。
关键词
颅内动脉硬化
狭窄
边支保护
介入治疗
Intracranial arteriosclerosis
Stenosis
Side branch protection
Interventional treatment