经桡动脉入路颅内动脉狭窄支架成形术四例

Intracranial arterial stenosis stenting via radial artery approach: four cases report

目的 报道4例经桡动脉入路行颅内动脉狭窄支架成形术的缺血性卒中病例并总结其治疗经验。方法与结果 回顾分析2022年青岛大学附属医院采用经桡动脉入路行颅内动脉狭窄支架成形术的4例缺血性卒中患者的诊断与治疗过程,狭窄分别位于左颈内动脉起始部、右椎动脉起始部、左椎动脉V4段、左椎动脉V4段与基底动脉起始部交界处,经桡动脉入路颅内动脉狭窄支架成形术顺利,术后狭窄均再通,术中及术后无一例出现并发症。结论 经桡动脉入路颅内动脉狭窄支架成形术治疗缺血性卒中安全、有效。

Objective:To report 4 cases of intracranial arterial stenosis stenting via radial artery approach and summarize the experience of treatment.Methods and Results:The clinical data and treatment process of 4 patients with ischemic stroke treated by intracranial arterial stenosis stenting via radial artery approach in The Affiliated Hospital of Qingdao University were reviewed in 2022.The stenoses were located in the initial segment of left internal carotid artery(ICA),the initial segment of right vertebral artery(VA),the V4 segment of left VA,and the junction of V4 segment of left VA and the basilar artery,respectively.All the 4 patients underwent transradial approach stenting for ICA stenosis.The surgery was successful and the stenoses were recanalized.No adverse reactions were observed during and after the surgery.Conclusions:Intracranial arterial stenosis stenting via radial artery approach is safe and effective in the treatment of ischemic stroke.