88例颅内外动脉支架术围手术期并发症比较

Comparison of Peroperative Complications after Extracranial or Intracranial Artery Stenting in 88 Cases

目的比较颅内外动脉支架术围手术期并发症。方法对2007年1月至2011年3月在我科行了脑动脉狭窄支架术的88例患者(颅外动脉80例,颅内动脉8例)在围手术期发生了并发症者进行分析。结果颅外动脉狭窄支架手术成功率100%,颅内动脉狭窄支架手术成功率75%。颅外动脉支架围手术期并发症:迷走反射症状7例(8.75%),短暂性脑缺血1例(1.25%),皮下瘀斑4例(5%),总发生率15%;颅内动脉支架围手术期并发症:蛛网膜下腔出血伴脑梗死1例(12.5%),皮下瘀斑1例(12.5%),总发生率25%。结论颅外动脉支架术与颅内动脉支架术相比,成功率高,围手术期并发症发生率低且轻。

Objective To compare the peroperative complications after extracranial or intracranial artery stenting. Methods The complications of 88 patients who had stenting for cerebral artery stenosis （80 cases for extracranal artery and 8 cases for intracranial artery） been analysed between January 2007 to January 2011. Results The success rate of stenting for extracranal artery was 100% and intracranial artery was 75%. The perioperative complications of stenting for extracranal artery： 7 cases （8.75%） had symptom of vagus reflex,1 case （1.25%） had TIA, 3 cases （5%） had subcutaneous petechia,total rate was 15%; The perioperative complications of stenting for intracranal artery： 1 case （12.5%） had SAH and infarct,1 case （12.5%） had subcutaneous petechia,total rate was 25%. Conclusion The stenling of extracranial artery had high rate of success and low rate ofperoperative complications compare with intracranial artery.