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经皮血管内支架成形术治疗颈动脉狭窄26例临床分析 被引量:3

Percutaneous transluminal angioplasty and stenting for 26 cases with stenosis of carotid artery
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摘要 目的:分析总结26例经皮血管内支架置入治疗颈动脉狭窄的方法、适应症和并发症的预防和处理。方法:所选病例均经脑血管造影确诊,围手术期及长期抗血小板聚集治疗,采用经股动脉插管,置入自膨式支架对颈动脉颅外段狭窄进行治疗。结果:26例手术均获得成功,3例出现不同程度脑血管痉挛,1例术中出现微栓子脱落轻度卒中,5例术中出现一过性心动过缓血压下降,2例术后持续性低血压,经积极处理未出现永久并发症,所有病例症状明显好转或消失,影像学上颈动脉狭窄得到有效改善,脑组织血管染色好转;随访5-18个月,未发生明显脑缺血症状,无发现支架内再狭窄病例。结论:颈动脉狭窄血管内支架治疗是一项安全有效的治疗手段,适应证的选择和术后的处理以及娴熟的操作技巧及脑保护装置的使用是手术成功的关键。 Objective:To evaluate the operation method, indications and prevention from complication in 26 cases with stenosis of carotid artery by percutaneous transluminal angioplasty and stenting. Methods:The procedures of percutaneous transluminal angioplasty and scenting of carotid arteries were performed after the diagnosis of 26 cases with carotid artery stenosis which were confirmed by DSA and periproeedual and extended anticoagulation treatment. Results:All 26 carotid stems were successfully accomplished. Amomg them dislocation of microemboli and small stroke happened in 1 patient. The heart rates decreased and the blood pressure declined in 5 patient and had a recovery after salvage. 2 patient had a long - time decline of blood pressure ~ All cases had no permanent syndrome by active treatment. All clinical ischemia signs were improved remarkably. DSA showed that the diameter of stenosed segment of carotid artery was markedly enlarged , dyeing of ipsilateral intracranial cerebral vessels recovered to normal. Follow up ranged between 5 - 18 months, no ischemia attack occurred in all cases by clinical observation and no restenosis was found in stenting angioplasty segment of carotid artery by ultrasonic examination. Conclusion:Carotid stenting is effective and safefor the treatment of carotid artery stenosis. But the selection for indication, special treatment during operation period and skillful technique were the keys of success.
出处 《医学信息(中旬刊)》 2010年第2期153-155,共3页 Medical Information Operations Sciences Fascicule
关键词 颈动脉狭窄 支架 脑保护装置 Carotid stenosis Stenting Cerebral protection device
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参考文献11

  • 1凌峰,缪中荣,主编.缺血性脑血管病介入治疗学.南京:江苏科学技术出版社,2003,183.
  • 2Rodriguez F.Screening for carotid artery stenosis and performance of carotid endarterectomy in select asymptomatic patient s is cost-effective.McGill J Med,1999,5:35-41.
  • 3吴中学.脑血管疾病的支架应用展望[J].中华神经外科杂志,2005,21(2):65-66. 被引量:35
  • 4周定标,许百男,余新光,张远征,卜博,雪梅,姜燕.显微颈动脉内膜切除术[J].中华神经外科杂志,2004,20(6):459-462. 被引量:20
  • 5Yadav JS,Wholey MH,Kuntz RE,et al.Protected carotid-artery stenting versus ndarterectomy in high-risk patients.N Engl J Med,2004,351:1565-1567.
  • 6Cremonesi A,Manetti R,Setacci F,et al.Clinical advantages and complications of embolic protection devices in 442 consecutive patients.Stroke,2003,34; 1936-1943.
  • 7Yadav J S,Roubin GS,Vitek J,et al.Elective stenting of t he extracranial carotid arteries.Ciculation.1997.95:367-381.
  • 8李慎茂,缪中荣,朱凤水,王默力,华扬,董岩,宋庆斌,凌锋.血管内支架治疗颈内动脉狭窄203例[J].广东医学,2003,24(8):794-796. 被引量:5
  • 9李宝民,李生,周定标,吴卫平.应用支架成形术处理颈动脉系血管狭窄[J].解放军医学杂志,2002,27(8):668-670. 被引量:29
  • 10Ohki T,Veit h FJ.Carotid stenting wit h and wit hout protection devices:should protection be used in all patients.Semin Vasc Surg,2000,13:144-152.

二级参考文献31

  • 1[1]Al-Mubarak N, Gomez CR, Vitek JJ et al.Stenting of symptomatic stenosis of the intracranial internal carotid artery. Am J Neuroradiol,1998,19:1949
  • 2[2]Lee PG, Michael BH, Phillip DP. Endovascular problem solving with intravascular stents. Am J Neuroradiol,2000,21:532
  • 3[3]Gomez CR, Misra VK, Campbell MS et al. Elective stenting of symptomatic middle cerebral artery stenosis. Am J Neuroradiol, 2000,21:971
  • 4[4]Mori T, Kazita K, Chokyu K et al. ahort-term arteriographic and clinical outcome after cerebral angioplasty and stenting for intracranial verterbrobasilar and carotid atherosclerotic occlusive disease. Am J Neuroradiol, 2000,21:249
  • 5[5]Mori T, Mori K, Fukuoka M et al. Percutaneous transluminal cerebral angioplasty for total occlusion of middle cerebral arteries. Neuroradiology,1997,39:71
  • 6[6]Itek JJ, Roubin GS, Al-Mubarek N et al. Carotid artery stenting: technical considerations. Am J Neuroradiol,2000,21:1736
  • 7[7]Orrish W, Grapovac S, Douen A et al. Intracranial hemorrhage after stenting and angioplasty of extracranial carotid stenosis. Am J Neuroradiol,2000,21:1911
  • 8[8]Nahser HC, Henkes H, Weber W et al. Intracranial vertebrobasilar stenosis angioplasty and follow-up. Am J Neuroradiol,2000,21:1293
  • 9[9]Kearney M. Histopathology of instent restenosis in patiens with peripheral artery disease. Circulation, 1997, 15: 1998
  • 10Wholey MH, Wholey M, Jarmolowski CR. Endovascular stents for carotid artery occlusive disease. J Endovasc Surg, 1997,4: 326.

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