颈动脉支架成形术治疗颈动脉狭窄263例  

Carotid Angioplasty and Stenting for Carotid Stenosis: a Report of 263 Cases

作　　者：黄海鹰[1] 李慎茂[2] 缪中荣[2] 朱凤水[2] 吉训明[2] 凌锋[2] 

机构地区：[1]南昌市第一医院神经外科,330008 [2]首都医科大学宣武医院神经外科,北京100053

出　　处：《国外医学（脑血管疾病分册）》2004年第10期738-741,共4页Foreign Medical Sciences Cerebrovascular Diseases

摘　　要：目的 :总结颈动脉狭窄支架成形术的经验 ,评价其疗效。方法 :颈动脉狭窄患者 2 6 3例 ,其中双侧颈动脉狭窄 97例 ,对侧颈动脉闭塞 2 3例 ,均使用自膨式支架进行颈动脉支架成形术。在 2 6 3根病变血管中置入支架 2 6 5枚 ,其中 84例使用了脑保护装置。结果 :技术成功率 98 9%。术后小卒中 5例 ,颅内出血 4例。围手术期神经源性病死率为 1 14 % ,致残率为 1 5 2 %。对 95例患者进行了随访(超过 6个月 ) ,其中 2例发生再狭窄 ,1例死亡。结论 :颈动脉支架成形术是治疗颈动脉狭窄相对安全、有效的方法 ,但这一结果还有待长期随访证实 ,其技术和应用材料也有待进一步研究和探讨。Objective: To summarize the exper ience of carotid angioplasty and stenting for carotid stenosis and to evaluate i ts efficacy. Methods: Carotid angiopl asty and stenting was performed in 263 consecutive patients with carotid stenosi s, among them 97 had bilateral carotid stenoses and 23 had contralateral carotid occlusion. Self-expandable stents were used in all patients. Two hundred sixty -five stents were implanted into 263 affected arteries, 84 of them used the bra in protection devices. Results: The suc cessful rate of stenting was 98.9%. Five patients developed minor stroke and 4 developed intracranial hemorrhage after their procedures. The neurologic mortali ty during perioperation was 1.14% and the morbidity was 1.52%. Ninety-five pa tients were followed up (>6 months), two of them occurred restennosis and 1 died . Conclusion: Carotid angioplasty and s tenting is a relative safe and effective method in the treatment of carotid sten osis. However, this result still needs to be confirmed in the long-term follow -up study, and its technical procedures and the materials used have to be furth er studied and explored.

关 键 词：颈动脉支架成形术 治疗 颈动脉狭窄 并发症 缺血性脑血管病 

分 类 号：R743.3[医药卫生—神经病学与精神病学]