TCD评价血管内支架成形术治疗颅内动脉狭窄  

Transcranial Doppler Evaluation of Endovascular Stent-assisted Angioplasty for the Treatment of Intracranial Arterial Stenosis

作　　者：康卫华[1] 王萍[1] 张亚明[1] 史如渊[1] 

机构地区：[1]山西医科大学第二医院,太原市030001

出　　处：《中国超声诊断杂志》2005年第8期561-563,共3页Chinese Journal of Ultrasound Diagnosis

摘　　要：目的评价血管内支架成形术治疗颅内动脉狭窄的短期疗效。方法对9例颅内动脉狭窄行血管内支架成形术患者的颅内血管行经颅多普勒超声(TCD)检测,其中大脑中动脉狭窄7例,基底动脉狭窄1例,椎动脉颅内段狭窄1例。结果所有患者成功地进行了支架成形术,术后临床TCD随访6个月,无血管再狭窄及缺血性脑卒中的发生。结论血管内支架成形术治疗颅内动脉狭窄的成功率高,可以改善狭窄远端的供血,但远期疗效有待于进一步随访。Objective To evalutate the short-term outcome of endovascular stent-assisted angioplasty for the treatment of intracranial arterial stenosis.Methods Angioplasty and stent placement were administered to test 9 patients with intracranial arterial stenosis using transcranial Doppler.Results Nine cases with intracranial arterial stenosis including 7 patients of middle cerebral artery,1 of basilar artery and 1 of vertebral artery.Technical success was achieved in all patients.There was no cerebral ischemic attack and no restenosis in the all patients who were clinically followed up 6 months after endovascular stent-assisted angioplasty for the treatment.Conclusions Angioplasty and stenting for the treatment of intracranial stenosis is feasible and favorable.It improved cerebral perfusion of distal part of the stenosis.but further and long term follow up study is essential.

关 键 词：TCD 血管内支架成形术 颅内动脉狭窄 血管成形术 经颅多普勒超声 血管疾病 DSA 

分 类 号：R743[医药卫生—神经病学与精神病学]