颈动脉支架治疗缺血性脑血管疾病42例

Stenting of intrcarotid stenosis with ischemic cerebral vascular disease

目的探讨症状性颈动脉狭窄支架治疗的疗效。方法选择临床NHISS评分6～10分的急性缺血性脑血管事件患者。行脑血管造影术后将颈内动脉直径狭窄率50%以上者纳入治疗组,术后7天再次行NHISS评分,所有患者进行长期随访。结果共计应用颈动脉支架48枚,全部支架释放准确。患者症状不同程度改善,随访至今最长64个月未再发生脑血管事件。结论颈动脉支架成形术,对症状性颈动脉狭窄的患者有益。

Objective To observe the effect in carotid angioplasty and treating with stend in the patients with carotid stenosis accompany with ischemic cerebral vascular disease.Methods Patients with NISS 6-10 level were given cerebral digital subtracting angiography（DSA）,when carotid-stenosis-rate was larger than 50% then were treated by carotid angioplasty and stenting（CAS） in 42 cases.Seven days later,the NISS level was re-evaluated.Results all stents released accurately with no death,infarction and cerebral hemorrhage.All patients＇ symptoms decreased in different levels.Conclusion Patients with carotid stenosis accompany ischemic symptoms can achieve more benefit with carotid artery stenting.