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血管内支架术治疗颈动脉粥样硬化性高度狭窄症三例报告 被引量:29

Treatment of carotid atherosclerosis using carotid artery stent placement
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摘要 目的利用颈动脉支架成形术治疗高度狭窄的颈动脉粥样硬化病人。方法选择3例缺血性脑血管病病人,其中2例表现为短暂性脑缺血发作,1例表现为脑梗死,相应颈动脉狭窄均大于70%。选用Palmaz154和Walstent支架进行颈动脉成形术。结果植入支架后,病人临床症状消失或减轻,影像学显示血管形态恢复正常,没有发生严重的并发症。随访1年,支架形态正常,血管无再狭窄。结论在因颈动脉粥样硬化导致的颈动脉高度狭窄病人的治疗中,颈动脉支架成形术是一种安全有效的方法。 Objective To treat the three cases of high grade carotid stenosis resulted from carotid atherosclerosis with stentassisted carotid angioplasty in China. Methods A total of three patients with ischemic strokes was selected.Two of the patients showed the symptoms with transient ischemic attacts(TIA),one of them had symptoms of cerebral infartion.All of these three cases disclosed more than 70% stenosis of the contralateral proximal internal carotid arteries.The three carotid angioplasties were carried out using the Palmaz154 or Wallstent stents. Results After stentassisted carotid angioplasty,the clinical symptoms disappeared and angiographic results were successful. There were no obvious complications in the procedures. Conclusion Carotid stent angioplasty is an effective and safe method in treating high grade carotid stenosis resulted from carotid atherosclerosis.
出处 《中华神经科杂志》 CAS CSCD 1999年第3期168-170,共3页 Chinese Journal of Neurology
基金 北京市科技新星计划 北京市优秀青年知识分子基金
关键词 颈动脉狭窄 动脉粥样硬化 支架 治疗 Carotid stenosisAtherosclerosisStents
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