目的探讨腔内支架技术治疗自发性孤立性肠系膜上动脉夹层（spontaneous isolated dissection of superior mesenteric artery，SIDSMA）的安全性及有效性。方法回顾性分析2009年1月～2011年4月16例接受血管腔内支架治疗的SIDSMA的临床...目的探讨腔内支架技术治疗自发性孤立性肠系膜上动脉夹层（spontaneous isolated dissection of superior mesenteric artery，SIDSMA）的安全性及有效性。方法回顾性分析2009年1月～2011年4月16例接受血管腔内支架治疗的SIDSMA的临床资料。结果均手术顺利，12例行单层裸支架释放，4例行双层裸支架释放。术后腹痛症状改善15例，无变化1例。术后6个月CTA复查，16例均支架通畅，14例假腔消失，2例支架外造影剂显影。结论对于未合并夹层破裂出血、肠坏死的症状性SIDSMA，腔内支架治疗是一种安全、有效、微创的治疗选择。展开更多
Small vessel disease （SVD） is responsible for brain chronic circular disorder,and accounts for 20%–30%cases of ischemic stroke as well as cerebral hemorrhage,and to a great extent,encephalopathy.Binswanger’s disea...Small vessel disease （SVD） is responsible for brain chronic circular disorder,and accounts for 20%–30%cases of ischemic stroke as well as cerebral hemorrhage,and to a great extent,encephalopathy.Binswanger’s disease and multiple small strokes,which are common in older people,are also closely associated with SVD.These disorders often cause decline in cognition,vascular dementia,impairment in gait and balance,mood depression,and urinary incontinence,and often brings great social and economic burdens.SVD-related encephalopathy increases the incidences of fall,disability and death in elderly people.With the aging of the society,more attention should be paid to the importance of early diagnosis and prophylactic treatment of SVD.Here the clinical manifestations and pathophysiology of SVD are reviewed.展开更多
文摘目的探讨腔内支架技术治疗自发性孤立性肠系膜上动脉夹层（spontaneous isolated dissection of superior mesenteric artery，SIDSMA）的安全性及有效性。方法回顾性分析2009年1月～2011年4月16例接受血管腔内支架治疗的SIDSMA的临床资料。结果均手术顺利，12例行单层裸支架释放，4例行双层裸支架释放。术后腹痛症状改善15例，无变化1例。术后6个月CTA复查，16例均支架通畅，14例假腔消失，2例支架外造影剂显影。结论对于未合并夹层破裂出血、肠坏死的症状性SIDSMA，腔内支架治疗是一种安全、有效、微创的治疗选择。
文摘Small vessel disease （SVD） is responsible for brain chronic circular disorder,and accounts for 20%–30%cases of ischemic stroke as well as cerebral hemorrhage,and to a great extent,encephalopathy.Binswanger’s disease and multiple small strokes,which are common in older people,are also closely associated with SVD.These disorders often cause decline in cognition,vascular dementia,impairment in gait and balance,mood depression,and urinary incontinence,and often brings great social and economic burdens.SVD-related encephalopathy increases the incidences of fall,disability and death in elderly people.With the aging of the society,more attention should be paid to the importance of early diagnosis and prophylactic treatment of SVD.Here the clinical manifestations and pathophysiology of SVD are reviewed.
