脑保护滤网下支架治疗老年高危症状性颈动脉狭窄的疗效观察  被引量:5

Observation on therapeutic effects of carotid angioplasty and stenting with cerebral protection fitler for elder and high-risk with symptomatic carotid stenosis

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作  者:徐运[1] 朱文斌[1] 张荣林[2] 赵扬[3] 李敬伟[1] 

机构地区:[1]南京大学医学院附属南京鼓楼医院神经内科,210008 [2]南京大学医学院附属南京鼓楼医院心脏科,210008 [3]南京市中医院

出  处:《临床神经病学杂志》2007年第1期48-50,共3页Journal of Clinical Neurology

基  金:江苏省科技厅卫生厅联合招标(BS2003003);南京市卫生局重点项目(ZKX0202)

摘  要:目的探讨脑保护滤网下支架治疗老年高危症状性颈动脉狭窄的有效性和安全性。方法在脑保护滤网下对25例60岁以上的高危症状性颈动脉狭窄患者进行颈动脉支架成形(CAS)治疗。结果颈动脉病变残余狭窄≤20%,手术成功率达100%,临床症状消失。24例在围手术期均有不同程度心率、血压下降,但无严重并发症。结论脑保护滤网下支架治疗老年高危症状性颈动脉狭窄是安全、有效的。Objective To investigate the effectivety and safety of carotid angioplasty and stenting (CAS) with cerebral protection ritler for elder and high risk patients with symptomatic carotid stenosis. Methods 25 patients with symptomatic carotid stenosis over 60 years old at high risk were treated with CAS. Results The procedures were technically successful in all patients. All the degrees of stenosis after CAS were less than 20%. Clinical symptoms disappeared. Heart rate and blood pressure were decreased differently in 24 cases. None of them experienced serious clinical complications. Conclusion CAS with cerebral protection fitler are safe and effective in treatment of elder and high risk of patients with symptomatic carotid stenosis.

关 键 词:颈动脉狭窄 动脉支架成形术 脑保护滤网 

分 类 号:R743.3[医药卫生—神经病学与精神病学]

 

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