急性颈动脉夹层介入治疗的临床观察

Clinical observation of interventional therapy in patients with acute carotid artery dissection

目的探讨介入治疗急性颈动脉夹层伴有症状性脑卒中的疗效。方法对5例急性颈动脉夹层伴有症状性脑卒中的患者采用置入支架并行动脉溶栓治疗,比较治疗前、治疗后7d美国国立卫生研究院卒中量表(NIHSS)评分及3个月时mRS评分。结果介入治疗后,4例闭塞血管完全再通,症状明显改善;闭塞血管未获得再通的1例患者症状改善不佳。结论介入治疗是急性颈动脉夹层伴有症状性脑卒中的有效治疗方法。

Objective To investigate the efficacy of interventional therapy in acute carotid artery dissection with the symptoms of stroke. Methods The interventional carotid artery stenting and intraarterial thrombolysis were carried out in 5 patients of acute carotid artery dissection with the symptoms of stroke. The therapeutic efficacy was valuated by comparing the NIHSS scores before and on the 7th day after treatment and using the mRS scores in the 3rd month. Results The occlusive blood vessels were recanalized completely after interventional treatment in 4 patients, in whom the symptoms of stroke were improved remarkably. The occlusive blood vessel was not reeanalized and the symptoms of stroke were not improved in one patient. Conclusion Interventional therapy is effective in the patients of acute carotid artery dissection with the symptoms of stroke.