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出 处:《临床急诊杂志》2007年第4期203-206,共4页Journal of Clinical Emergency
摘 要:目的观察支架置入(SP)术治疗颅外动脉狭窄的疗效及其并发症。探讨对各种并发症的处理方法。方法为12例因颅外动脉(颈内动脉颅外段、椎动脉)狭窄患者(平均年龄63.9)行 SP 术治疗。术前术后行脑血管造影。术中术后给予抗凝治疗。结果 12例均成功放置支架,3例出现高灌注综合征,1例死亡,2例经对症治疗后痊愈;6例颈内动脉支架均使用脑保护装置,3例术后保护装置内有脱落物,1例术后出现假性动脉瘤。结论支架置入术治疗脑血管狭窄有效、彻底,但并发症较多,要严格规范操作,正确应对。Objective To observe the complications and efficacy of stent placement(SP) for extracranial cerebrovascular stenosis. To study the various complications and their management. Methods From Janoury 2006 to Janoury 2007 , 12 patients ( mean age 63.9 years old ) were treated with stent placement for stenosis of extracranial arteries ( internal carotid arteries, vertebral arteries). Cerebrovascular angiography were performed before and after the operation. Anticoagulant was taken during and after the operation. Results Stent placement was successfully accomplished in all the 12 patients, while 3 cases occurred hyperperfusion syndrome (HS), with 1 case died,2 cases recovered by treatment. 6 patients with internal carotid arteries was all used with angioguard. 3 angioguards in which we found fragments. 1 case occurred pseudoaneurysm. Conclusion Stent placement in the management of the extracranial cerebrovascular stenosis is a safe and complete method. But the complications occurred in many factors. We must performed in standert procedure, and with correct treatment.
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