使用脑保护装置支架置入治疗颈动脉狭窄  

Treatment of carotid artery stegnosis using stent by cerebral protection device

作　　者：阳纲要[1] 武衡[1] 谢明[1] 林百喜[1] 

机构地区：[1]南华大学附属第一医院神经介入中心,湖南衡阳421001

出　　处：《中国现代医学杂志》2006年第8期1260-1261,1267,共3页China Journal of Modern Medicine

摘　　要：目的总结在使用脑保护装置下进行颈动脉狭窄支架成形术的临床经验。方法回顾分析37例症状性颈动脉狭窄病人行血管内支架成形术,支架置入前全部通过狭窄释放脑保护装置,37例病人随访2～23个月。结果37例病人支架置入成功,脑保护装置全部收回,5例病人出现术中心动过缓,3例病人血压下降,1例术中TIA发作、2min后症状消失,1例术中血管轻度痉挛、经罂粟碱治疗后恢复,无死亡病例,全部病人随访无复发。结论血管内支架置入治疗颈动脉狭窄疗效肯定,使用脑保护装置能提高支架置入术的安全性。[Objective] To summarize clinical experience of using stent in carotid artery stegnosis patiant by cerebral protection device. [Methods] To review 37 patiant with carotid artery stegnosis that were treated by stent and cerebral protection device （CPD）, all patiant following up 2-23 month. [Results] All 37 patients had been successfully placed in stent and taken back all CPD. But within operation, 5 case had bradycardia; 3 case had blood pressure decrease; 1 case had transient ischemia attach （TIA） and stopped after 2 minutes; 1 case had slightly artery spasm and recovery by using papavedne, had not decease and recurrence by following up. [Conclusion] Treatment of carotid artery stegnosis using stent had affirmative therapeutic effect and to ensure security of operation by using CPD.

关 键 词：颈动脉狭窄 支架 脑保护装置 

分 类 号：R543.5[医药卫生—心血管疾病]