摘要
目的评价脑保护装置下高龄重度颈动脉狭窄患者颈动脉支架成形术(CAS)的有效性及安全性。方法选择2009年1月—2012年1月在青岛大学医学院附属医院行CAS的高龄重度颈动脉狭窄患者37例,术中均应用脑保护装置,观察患者狭窄改善情况、围术期并发症发生情况、回收脑保护装置内脱落栓子情况,随访1年观察患者缺血性脑血管事件发生情况。结果 36例患者脑保护伞均一次性顺利通过狭窄段放置到位成功释放;术后残余狭窄率均<30%,平均狭窄程度从(83.0±6.7)%降至(13.0±6.1)%;回收的脑保护装置中有26个发现脱落的组织碎片;围术期均未出现脑出血、症状性脑梗死、支架内血栓形成等严重并发症;37例患者随访1年,无短暂性脑缺血发作(TIA)、卒中、死亡发生。结论脑保护装置下对高龄重度颈动脉狭窄患者行CAS成功率和安全性较高。
Objective To evaluate the efficacy and safety of carotid artery stenting assisted by cerebral embolic protec- tion devices in aged patients with severe carotid stenosis. Methods A total of 37 aged patients with severe carotid stenosis were selected in the Affiliated Hospital of Medical College,Qingdao University from January 2009 to January 2012,all of them under- went carotid artery stenting assisted by cerebral embolic protection devices. The improvement of carotid stenosis,incidence of complications during perioperative period,embolus in the embolic protection devices were observed;and incidence of ischemic cerebrovascular events during the one year fellow - up were recorded. Results Out of the 37 patients,36 patients successfully completed the carotid artery stenting,the remnant stenosis rate was less than 30% ,and the average degree of stenosis was （13. 0 ± 6. 1）% ,falled down from（83. 0 ± 6. 7）% ;26 cases found fragment of tissue in the embolic protection devices;no one occurred cerebral hemorrhage,symptomatic cerebral infarction or symptomatic cerebral infarction;no one occurred transient ischemic attack,stroke or death during the one year follow - up. Conclusion Carotid artery stenting assisted by cerebral embol- ic protection devices has high successful rate in aged patients with severe carotid stenosis,and high safety.
出处
《实用心脑肺血管病杂志》
2014年第12期78-80,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
