期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

内膜剥脱术用于21例颈动脉狭窄患者疗效分析 被引量：6

下载PDF
导出
摘要 目的 评价颈动脉内膜剥脱（CEA）术治疗颈动脉狭窄的近期疗效.方法 选择颈动脉硬化狭窄患者21例,其中有慢性脑缺血症状8例,一过性脑缺血发作用（TIA）8例,无症状3例,支架后再狭窄2例,术前均行彩色超声波显像、DSA动脉造影或CTA和MRA扫描检查,颈动脉狭窄程度65％ ～93％；在全麻下行CEA,术中均未放置动脉转流管.采用CEA方法进行手术治疗,回顾分析治疗效果.结果 21例患者均行CEA术,术后CTA示狭窄段成形良好,术后随访3 ～ 20个月,临床症状消失16例,明显改善4例,留有轻度慢性脑缺血症状者1例.结论 颈动脉内膜剥脱术治疗颈动脉狭窄近期疗效好,值得临床推广应用,但手术指征较为严格,需严格掌握.
作者 陈伟 佟小光
机构地区 天津医科大学研究生院 天津市环湖医院
出处 《山东医药》 CAS 2013年第38期54-56,共3页 Shandong Medical Journal
关键词 脑缺血 颈动脉狭窄 颈动脉内膜剥脱术
分类号 R543.4 [医药卫生—心血管疾病]
  • 相关文献

参考文献14

  • 1McClelland S. Multimodality management of carotid artery steno- sis: reviewing the class-I evidence[J]. Natl Med Assoc, 2007,99 ( 11 ) :1235-1242.
  • 2Long SM, Kern JA, Fiser SM, et al. Carotid arteriography impacts carotid stenosis management [ J ]. Vasc Surg, 2001,35 (4) : 251- 257.
  • 3Pearson TA, Blair SN, Daniels SR, et al. AHA guidelines for pri- mary prevention of cardiovascular disease and stroke: 2002 up- date : consensus panel guide to comprehensive risk reduction for a-dult patients without coronary or other atherosclerotic vascular dis- eases. American Heart Association Science Advisory and Coordina- ting Committee[J]. Circulation, 2002,106(3) :388-391.
  • 4Malek AM, Higashida RT, Phatouros CC, et al. Treatment of pos- terior circulation ischemia with extracranial percutaneous balloon angioplasty and stent placement [ J ]. Stroke, 1999, 30 ( 10 ) : 2073 -2085.
  • 5Boiten J, Rothwell PM, Slattery J, et al. Ischaemic lacunar stroke in the European Carotid Surgery Trial[ J ]. Cerebrovasc Dis, 1996, 6(6) :281-287.
  • 6Nascet CR. North American symptomatic carotid endart erectomy trial collaborators: beneficial effect of carotid endarterectomy in symptomatic patients with high - grade carotid stenosis[ J]. NEJM, 1991,325 ( 7 ) :445-453.
  • 7Acas. P. Executive committee for the asymptomatic carotid athero- sclerosis study:endart erectomy for asymptomatic carotidartery ste- nosis[ J ]. JAMA, 1995, 273 (18) : 1421-1428.
  • 8Gonzrlez A, Gonz01ez-Marcos JR, Martinez E, et al. Safety and security of carotid artery stenting for severe stenosis with contralat- eral occlusion [J]. Cerebrovasc Dis, 2005 ;20(2) :123-128.
  • 9Yadav JS, Wholey MH, Kuntz RE, ct al. Protected carotid-artery stenting versus endarterectomy in high-risk patients [ J ]. NEJM, 2004,351 ( 15 ) :1493-1501.
  • 10Sacco RL, Adams R, Albers G, et al. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack : a statement fur health care professionals from the American Heart Association/American Stroke Association Council on Stroke: Co- sponsored by the Counci on Cardiovascular Radiology and Interven- tion:the American Academy of Neurology affirms the value of this guideline[J]. Stroke, 2006,37(7) :577:517.

二级参考文献33

  • 1[1]Sundt TM Jr,Sandok BA,Whisnant JP.Carotid endarterectomy:complications and preoperative assessment of risk[J].Mayo Clin Proc,1975,50:301-306.
  • 2[2]Sundt TM Jr,Sharbrough FW,Piepgras DG,et al.Correlation of cerebral blood flow and electroencephalographic changes during carotid endarterectomy[J].Mayo Clin Proc,1981,56:533-543.
  • 3[3]Reigel MM,Hollier LH,Sundt TM Jr.Cerebral hyperperfusion syndrome:a cause of neurologic dysfunction after carotid endarterectomy[J].J Vasc Surg,1987,5:628-634.
  • 4[4]Ascher E,Markevich N,Schutzer RW,et al.Cerebral hyperperfusion syndrome after carotid endarterectomy:predictive factors and hemodynamic changes[J].J Vasc Surg,2003,37:769-777.
  • 5[5]Morrish W,Grahovac S,Douen A,et al.Intracranial hemorrhage after stenting and angioplasty of extracranial carotid stenosis[J].Am J Neuroradiol,2000,21:1911-1916.
  • 6[6]Meyer PM,Higashida RT,Phatouros CC,et al.Cerebral hyperperfusion syndrome after percutaneous transluminal stenting of the craniocervical arteries[J].Neurosurg,2000,47:335-343.
  • 7[7]Uno M,Nakajima N,Nishi K,et al.Hyperperfusion syndrome after extracranial-intracranial bypass in a patient with moyamoya disease-case report[J].Neurol Med Chir(Tokyo),1988,38:420-424.
  • 8[8]Amagasaki K,Shimozu T,Suzuki Y,et al.Focal hyperperfusion in a patient with mitochondrial myopathy,encephalopathy,lactic acidosis,and strokelike episodes.Case report[J].J Neurosurg,2001,94:133-136.
  • 9[9]Ogasawara K,Ogawa A,Okuruchi T,et al.Postoperative hyperperfusion syndrome in elderly patients with chronic subdural hematoma[J].Surg Neurol,2000,54:155-159.
  • 10[10]van Mook WN,Rennenberg RJ,Schurink GW,et al.Cerebral hyperperfusion syndrome[J].Lancet Neurol,2005,4:877-888.

共引文献24

同被引文献74

  • 1Halm EA,Tuhrim S,Wang JJ,et al.Risk factors for perioperative death and stroke after carotid endarterectomy: results of the new york carotid artery surgery study [J]. Stroke,2009, 40(1):221-229.
  • 2Bouri S,Thapar A,Shalhoub J,et al.Hypertension and the post-carotid endarter- ectomy cerebral hyperperfusion syndrome [J]. Eur J Vasc Endovasc Surg, 9011,41(2):229-237.
  • 3Mantese VA,Timaran CH,Chiu D,et al.The carotid revascuiarization endarterectomy Versus stentingtfial(CREST) Istenting versus carotid endartereetomyfor carotid disease. Stroke.2010:41:S31-S34.
  • 4Kurre W, Berkefetd J,Brassel F, et al.ln-hospital complication rates after stent treatment of 388 symptomatic intracranial stenoses: results from the INTRASTENT multicentric registry Stroke.2010;41 (3):494-498.
  • 5Gifford E,Drazin D,Dalfino JC.The effectiveness of mieroballoon angioplasty in treating middle cerebral artery occlusion beyond the bifurcation.AJNR Am J Neuroradioi. 2010;31 (8): 1541-1548.
  • 6Norkiene I,Samalavicius R,Ivaskevcius J,et al.Asymptomatic carotid artery stenosis and cognitive outcomes'after coronary artery bypass grafting.Scand Cardiovasc J.2011 ;45(3): 169-173.
  • 7Mendiz OA,Sposato LA,Fabbro N,et al.lmprovement in executive function after unilateral carotid artery stenting for severe asymptomatic stenosis.J Neurosurg.2012; 116(1 ): 179-184.
  • 8Saeeo RL,Adams R,Albers G, et aI.Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack: a statement for heakhcare professionals from the American Heart Associaticn/American Stroke Association Council On Stroke: cosponsored by the Council On Cardiovascular Radiology and Interventiom the American Aeademy of Neurology affirms the value of this guideline. Stroke.2006:37:577-617.
  • 9Kastrup A,Gr6sehel K,Schnaudigd S,et ai.Target lesion alceration and arch calcification are assodated with increased incidence of carotid stenting-assoeiated ischemic lesions in ottogenarians.J Vase Surg.2008;47:88-95.
  • 10Sugita J,Cremonesi A,Van Elst F, et al.European carotid PROCAR Trial, prospective muhieenter trial to evaluate the safety and pedormance of the ev3 Protege stenl in the treatment of carotid artery.slenosis: I-and 6-month follow-up.J Inlerv Cardioi.2006; 19(3):215-221.

引证文献6

二级引证文献21

山东医药
2013年 第38期

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