摘要
目的探讨脑保护滤网下支架治疗老年高危症状性颈动脉狭窄的有效性和安全性。方法在脑保护滤网下对25例60岁以上的高危症状性颈动脉狭窄患者进行颈动脉支架成形(CAS)治疗。结果颈动脉病变残余狭窄≤20%,手术成功率达100%,临床症状消失。24例在围手术期均有不同程度心率、血压下降,但无严重并发症。结论脑保护滤网下支架治疗老年高危症状性颈动脉狭窄是安全、有效的。
Objective To investigate the effectivety and safety of carotid angioplasty and stenting （CAS） with cerebral protection ritler for elder and high risk patients with symptomatic carotid stenosis. Methods 25 patients with symptomatic carotid stenosis over 60 years old at high risk were treated with CAS. Results The procedures were technically successful in all patients. All the degrees of stenosis after CAS were less than 20%. Clinical symptoms disappeared. Heart rate and blood pressure were decreased differently in 24 cases. None of them experienced serious clinical complications. Conclusion CAS with cerebral protection fitler are safe and effective in treatment of elder and high risk of patients with symptomatic carotid stenosis.
出处
《临床神经病学杂志》
CAS
北大核心
2007年第1期48-50,共3页
Journal of Clinical Neurology
基金
江苏省科技厅卫生厅联合招标(BS2003003)
南京市卫生局重点项目(ZKX0202)
关键词
颈动脉狭窄
动脉支架成形术
脑保护滤网
carotid stenosis
carotid angioplasty and stenting
cerebral protection fitler
