锁骨下动脉支架置入术治疗锁骨下动脉狭窄的临床研究

Clinical Study of Subclavian Artery Stent Implantation for the Treatment of Subclavian Artery Stenosis

目的探讨锁骨下动脉支架置入术治疗锁骨下动脉狭窄的疗效及安全性。方法 56例锁骨下动脉狭窄患者行锁骨下动脉支架置入术治疗,观察患者的治疗效果。结果 56例患者共植入58枚球囊扩张式支架,手术成功率100%;术后病变部位狭窄率降低(P<0.05);术后12个月内并发症患者给予针对性治疗均痊愈出院;术后1个月患者的基底动脉血流动力学参数均显著优于术前(P<0.05)。结论锁骨下动脉支架置入术治疗锁骨下动脉狭窄患者的疗效显著,安全性高。

Objective To investigate the efficacy and safety of subclavian artery stent implantation in the treatment of subclavianartery stenosis. Methods 56 cases of patients with subclavian artery stenosis were treated by subclavian artery stent implantation, and the therapeutic effect was observed. Results 58 balloon expandable stents were implanted in 56 patients, and the success rate of surgery was 100%. The stenosis rate of the lesion site after operation decreased significantly （P 〈0.05）. Complications within 12 months after surgery were treated with definitive therapy, and all cases were cured and discharged. 1 month after surgery, the hemodynamic parameters of basilar artery were significantly better than those before surgery （P 〈0.05）. Conclusions Subclavian artery stent implantation has significant efficacy and high safety in the treatment of patients with subclavian artery stenosis.