期刊文献+

椎-基底动脉支架植入术后颅内出血1例分析 被引量:3

下载PDF
导出
摘要 目的报告1例颅内基底动脉支架植入术后并发颅内出血患者的治疗过程,探讨支架植入术后脑出血并发症的处理。方法行基底动脉支架植入,术后并发右侧额叶脑出血,后行手术血肿清除及去骨瓣减压术,术后行"中性"治疗(不止血、不抗凝及不抗血小板聚集)。结果患者恢复良好,GCS15分,四肢肌张力正常,5个月后行颅骨修补术。随访至今,无脑卒中发生。结论支架植入术后发生脑出血并发症应积极抢救,"中性"治疗手段是可取的,但仍需临床实践证明。
出处 《中国临床神经外科杂志》 2013年第6期344-345,共2页 Chinese Journal of Clinical Neurosurgery
  • 相关文献

参考文献7

  • 1Gebel JM, Brot TG, Howard VJ, et al. Brain injury as de- tected by computerized tomography in CT scan in ACAS (abstr) [J]. Stroke, 2003, 34: 238.
  • 2Perry JR, Szalai JP, Norris JW. Consensus against both en- duaterectomy and routine screening for asymptonmatic ca- rotid artery stenosis. Canadian Stroke Consortium [J]. Arch Neurol, 1996, 54: 25-28.
  • 3Books WH, McClure RR, JoneMR, et al. Cartotid angioplasty and stengting versus carotid endarterectomy: randomized trial in a community hospital [J]. Jam Coll Cardiol, 2001, 38: 1589-1595.
  • 4Barr JD, Connorsv J J, Sacks D, et al. Quality improvement guidelines for the performance of cervical carotid angio- plasty and stent placement [J]. J Vasc Interv Radiol, 2003, 14: S321-335.
  • 5Kastrup A, Groschel K, Krap F, et al. Early outcome of carotid angioplasty and stenting with and without cerebral- protection devices: a systematic review of the literature [J]. Stroke, 2003, 34: 813-819.
  • 6李健,高国栋,赵振伟,衡立君,邓剑平,马剑,李小龙,马廉亭.改良的预扩张技术置入Wingspan支架治疗大脑中动脉狭窄[J].中国临床神经外科杂志,2012,17(6):321-324. 被引量:3
  • 7Dalman JE, Beenakers IC, Moll FL, et al. Transcranial Doppler monitoring during carotid endartereetomy helps to identify patients at risk of postoperative hyperperfusion [J]. Eur J Vasc Endovasc Surg, 2002, 23(1): 17-22.

二级参考文献11

  • 1Warfarin Aspirin Symptomatic Intracranial Disease Trial Investigators. Predictors of ischemic stroke in the territory of a symptomatic intracranial arterial stenosis [J]. Circula- tion, 2006, 113(4): 555-563.
  • 2NIH Multicenter Wingspan Intracranial Stent Registry Study Group. Risk factors associated with major cerebrovascular complications after intracranial stenting [J]. Neuroloo', 2009, 72(23): 2014-2019.
  • 3Levy EI, Turk AS, Albuquerque FC, et al. Wingspan in- stent restenosis and thrombosis: incidence, clinical presen- tation, and management [J]. Neurosurgery, 2007, 61(3): 644-650.
  • 4Turk AS, Levy El, Albuquerque FC, et al. Influence of pa- tient age and stenosis location on wingspan in-stenl reste- nosis [J]. Am J Neuroradiol, 2008, 29(1): 23-27.
  • 5Miao ZR, Feng L, 1,i S, et al. Treatment of symptomatic mid- die eerebral artery stenosis with balloon-mounted stents: long-term follow-up at a single center [J]. Neurosurgery, 2009, 64(1): 79-84.
  • 6Jeong MH, Owen WG. Staab ME, et al. Porcine model of stent thrombosis: platelets are the primary component of acute stem closure [J]. Cathet Cardiovasc Diagn, 1996, 38 (1): 38-43.
  • 7Jiang W J, Srivastava T, Gao F, et tzl. Perforator stroke after elective stenting of symptomatic intraeranial stenosis [J]. Neurology, 2006, 66(I 2): 1868-1872.
  • 8SSYLVIA Study Investigators. Stenting of symptomatic athe- roselerotie lesions in tile vertebral or intracranial arteries (SSYLVIA): study results [J]. Stroke, 2004, 35(6): 1388- 139:2.
  • 9Gupta R, AI-AIi F, Thomas AJ, et al. Safety, feasibility, and shorlterm fiollow-up of drug-eluting slenl plaeemenl in the intraeranial and extraeranial circulation [J]. Stroke, 2006. 37(10): 2562-2566.
  • 10Warfarin-Aspirin Symptomatic lntracranial Disease Inves- tigators. Failure of anti/hrombotic therapy and risk of stroke in patients with symptomatic intracranial stenosis[J ]. Stroke. 2009.40(2): 505-509.

共引文献2

同被引文献26

  • 1于苏文,练学淦,赵建法,陈升东,祝育青,陈红霞,王燕娟.支架成形术治疗椎动脉狭窄[J].中华神经医学杂志,2006,5(8):851-852. 被引量:7
  • 2Coward IJ, Featherstone RL, Brown MM. Percutaneous transluminal angioplasty and stenting for vertebral artery stenosis [J]. Cochrane Database Syst Rev, 2()05, (2): CD000516.
  • 3The Warfarin-Aspirin Symptomatic Intracranial Disease (WASID) Study Group. Prognosis of patients with sympto- matic vertebral or basilar artery stenosis [J]. Stroke, 1998, 29(6): 1389-1392.
  • 4The Chow MM, Masaryk TJ, Woo HH, et al. Stent-assisted angioplasty of intracranial vertebrobasilar atheruselemsis: midterm analysis of clinical and radiologic predictors of nerrollgical morbidity and mortality [J]. Am J Neuroradiol, 2005, 26(4): 869-874.
  • 5The SSYLVIA Study Investigators. Stenting of Sympotamic Atheroselerotic Lesions in the Vertebal or Intracranial Arteries(SSYLVIA): study results [J]. Stroke, 2004, 35: 1388-1392.
  • 6Li J, Zhao ZW, Gao GD, et al. Wingspan stent for high- grade symptomatic vertebrobasilar artery atherosclerotic stenosis [J]. Cardiovasc Intervent Radiol, 2012, 35(2): 268- 278.
  • 7Shin YS, Kim BM, Suh SH, et al. Wingspan stenting for intracranial atherosclerotic stenosis: clinical outcomes and risk factors for in-stent restenosis [J]. Neurosurgery, 2013, 72(4): 596-604.
  • 8Hoffman R, Mintz GS, Dnssaillant GR, et al. Patterns and mechanisms of in-stent restenosis: serial intravascular ultrasound study [J]. Circulation, 1996, 94: 1247-1254.
  • 9Bose A, Hartmann M, Henkes H, et al. A novel, self-ex- panding, nitinol stent in medically refractory- intracranial atheroselerotic stenosis: the Wingspan study [J]. Stroke, 2007, 38(5): 1531-1537.
  • 10Turk AS, Levy EI, Albuquerque FC, et al. Influence of patient age and stenosis location on wingspan in-stent restenosis [J]. Am J Neuroradiol, 2008, 29(1): 23-27.

引证文献3

二级引证文献5

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部