摘要
目的探讨颈动脉支架成形术(carotid atery stentlng,CAS)治疗症状性颈动脉狭窄患者的临床疗效。方法采用颈动脉支架成形术治疗51例症状性颈内动脉狭窄患者,于围手术期进行抗血小板聚集治疗。结果全组手术成功率100%,术前平均狭窄率为79.8%,术后残余狭窄率<20%,18例保护伞中有碎屑。所有患者术后1周内症状及神经功能缺损体征有所改善。术后3例出现轻度再狭窄,l例出现重度再狭窄;未发现支架移位、缺血性脑卒中。结论颈动脉支架治疗高危症状性颈动脉狭窄创伤小,围手术期并发症少,是安全、有效的。
Objective To study the clinical efficacy of carotid angioplasty and stenting（carotid atery stentlng,CAS） for symptomatic carotid artery stenosis.Methods Carotid artery stenting treatment of 51 patients with symptomatic carotid artery stenosis,the perioperative antiplatelet aggregation therapy.Results Technical success rate was 100%,mean preoperative stenosis was 79.8%,postoperative residual stenosis 20%,18 umbrella in debris.1 week after surgery all patients symptoms and signs of neurological deficit improved.3 cases mild stenosis,l patients had severe stenosis;not found stent migration,ischemic stroke.Conclusions Carotid artery stenting for symptomatic carotid stenosis at high risk trauma,fewer perioperative complications,is safe and effective.
出处
《医药论坛杂志》
2011年第10期81-82,共2页
Journal of Medical Forum
关键词
颈动脉狭窄
支架
治疗效果
Carotid artery
Stent
Treatment outcome
