腔内支架成形术治疗颅内脑动脉狭窄  

Transluminal stent- assisted angioplasty for the treatment of atherosclerotic intracranial stenosis

作　　者：曹玉梅 

机构地区：菏泽市立医院,山东菏泽274031

出　　处：《中国保健》2006年第01X期5-6,共2页Chinese Health Care

摘　　要：目的：初步总结血管内支架成形术治疗颅内动脉狭窄的经验,探讨治疗的可行性,安全性。方法：对25例颅内脑动脉狭窄患者接受了脑内支架形成术治疗。结果：5例药物治疗无效均成功的采用支架形成术,术前、术后平均狭窄程度分别为85%和8.3%临床随访5例,症状均完全缓解,无1例发生内膜撕裂或血栓栓塞形成,短期随访未发现有再狭窄及内膜过度增生。结论：脑内支架成形术是治疗颅内脑动脉狭窄有效的方法。长期疗效需进一步的随访观察。Objective： To evaluate the feasibility, safety of transluminal stent - assisted angioplasty for the treatment of atherosclerotic intracranial stenosis, and to discuss our preliminary experience. Methods： Transluminal stent - assisted angioplasty was performed in 5 cased uith atherosclerotic intracranial stenosis Results： Five patients had no refractory to medical therapy were undertaken with endovascular stinting, showing technically successful in 5 of all. The mean degrees of preoperative and postoperative stenosis were 85 % and 8.3 % ;respeetively. Follow up data showed disappearance of clinical symptoms in 5 patients There were no intimal dissection and distal embolization short - term follow - up angiogram revealed no restenosis and intimal hyperplasia. Conclusions： percutaneous translational may be a favorable alternative for the treatment of atherosclerotle in tracranial stenosis, but long - trem follow - up is necessary.

关 键 词：动脉狭窄 颅内的 支架 腔内成形 

分 类 号：R743.9[医药卫生—神经病学与精神病学]