摘要
目的探讨应用脑保护装置的颈动脉支架成形术治疗颈内动脉狭窄的安全性和疗效。方法15例颈内动脉狭窄率在70％以上的患者均在放置了脑保护装置后施行颈动脉支架成形术，观察同侧血管支配区的围术期及随访期缺血性脑血管病事件。结果15例患者脑保护装置及支架均成功置入，1例患者术中出现颈动脉痉挛，患者表现为进行性意识障碍，对侧肢体偏瘫；4例术后出现不同程度的血压、心率下降。在6—12个月随访期间无同侧血管再狭窄及缺血性脑血管病事件发生。结论应用脑保护装置的颈动脉支架成形术是一种微创、安全、有效的颈动脉狭窄治疗方法。
Objective To investigate the effect and safety of internal carotid artery stenting with brain protection device. Methods Fifteen patients of internal carotid artery stenosis ≥ 70% accepted carotid artery stenting under brain protection device. Ischemic events of homolateral carotid arterial area were observed. Results Fifteen patients accepted carotid artery stenting under brain protection device successfully. Transient ischemic attack in one case during operation, who presented progressive unconscious and contralateral hemiparesis, 4 cases after operation presented varying degression of blood pressure and heart rate, no homolateral carotid artery restenosis and ischemic events occurred during 6-12 months＇ follow-up. Conclusion Carotid artery stenting under brain protection device is a minimally-invasive and safe treatment.
出处
《中国医药》
2013年第2期168-170,共3页
China Medicine
关键词
颈动脉狭窄
支架成形术
脑保护装置
Carotid artery stenosis
Stent angioplasty
Brain protection device
