摘要
目的 观察支架术治疗颈动脉狭窄的近期疗效 ,探讨临床应用中的相关问题。方法 将临床经颈部B超、脑血管造影确诊的颈动脉狭窄患者 10 8例 ,实施颈动脉支架术 ,15例行预扩张 ,12例后扩张成形 ,9例使用滤器装置 ,围手术期给予抗血小板聚集等治疗。结果 2例手术失败 ;术后 2例发生脑出血 ,1例脑栓塞 ,1例支架内血栓形成 ,除 1例脑出血死亡外 ,3例治疗后恢复 ;1～ 6个月的随访中 ,10 5例患者无复发。手术并发症发生率低 ,近期疗效满意。结论 颈动脉狭窄段支架术治疗颈动脉狭窄具有可行性 ,近期疗效肯定 ,是临床上有推广潜力的治疗颈动脉狭窄的方法 ,但远期疗效尚需进一步观察。
Objective To observe short-term effect of stent placement for carotid stenosis and discuss correlative problem of clinic application. Methods 108 patients with carotid stenosis diagnosed by B ultrasonography or DSA were treated with two types stent of Wallstent or SMART. The stenosis vessels of 15 patients were dilated before stenting and the stents of 12 cases had been dilated after stenting and the operation of 9 cases used filter system. All cases were treated with anticoagulants surround operation. Results The operations were very successful except of two cases. One cerebral embolism, one case thrombosed on stent and two cerebral hemorrhages, except one of them died, 3 cases recovered by treatment. The last had good clinic effect. Followed-up 1～6 months, none of them reappeared the same syndrome and presented severe complications, the short-term effect was satisfactory. Conclusions Stent placement for carotid stenosis has not only good feasibility but also short-term clinical effect. It is a potential and valuable way for treatment of carotid artery stenosis, but its long-term effect is not sure.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
2004年第1期40-43,共4页
Chinese Journal of Nervous and Mental Diseases
