腔内支架成形术治疗症状性颅内动脉狭窄  

Transluminal Stent-assisted Angioplasty for the Treatment of the Symptomatic Intracranial Artery Stenosis

作　　者：刘增品[1] 王铁刚[1] 赵林[1] 贾香丽[1] 田云霄[1] 付凯亮[1] 王藏海[1] 李淑芝[1] 刘怀军[1] 程炜[2] 

机构地区：[1]河北医科大学第二医院医学影像科,河北石家庄050000 [2]保定市第一医院CT室

出　　处：《实用放射学杂志》2008年第4期534-536,共3页Journal of Practical Radiology

摘　　要：目的研究腔内支架成形术治疗症状性颅内动脉狭窄的安全性及有效性。方法对25例症状性颅内动脉狭窄的患者行腔内支架成形术治疗。结果25例患者中24例成功置入26枚冠脉支架,1例因支架置入困难仅行PTA术。22例患者术后均未发生脑缺血发作,1例单纯PTA患者术后症状明显改善,1例患者术后9个月复查TCD可见内膜增生,1例基底动脉支架成形术后出现动眼神经麻痹,1例出现再灌注损伤。结论腔内支架成形术是治疗症状性颅内动脉狭窄的安全、有效的方法,其长期疗效还需进一步随防研究。Objective To study the safety and efficiency of transluminal stent - assisted angioplasty for the treatment of the symptomatic intracranial artery stenosis. Methods Transluninal stent - assisted angioplasty was performed in 25 eases with symptomatic intracranial artery stenosis. Results 24 cases were successfully treated with 26 balloon - expandable coronary stent and percutaneous transluminal angiography （PTA） was performed in one ease. All eases were followed - up for 9 months,of them,there was no stroke occurrence in 22 eases, one ease who underwent PTA was recoveried obviously and TCD revealed intima hyperplasia in one ease and re -perfusion injury in one ease, oculomotor nerve paralysis in one ease. Conclusion Percutaneous transluminal stenting is safe and effective for stenosis of symptomatic intracranial artery stenosis, and the long - term follow - up needs further investigation.

关 键 词：颅内动脉狭窄 支架成形术 介入放射学 

分 类 号：R743[医药卫生—神经病学与精神病学] R815[医药卫生—临床医学]