症状性椎动脉起始部狭窄支架植入成形术  

Endovascular Stenting for Treatment of Symptomatic Vertebral Artery Origin Stenoses

作　　者：孙军[1] 陈茂华[1] 陆川[1] 陈献东[1] 蔡建勇[1] 巴华君[1] 林建虎[1] 林震旦[1] 肖达荣[1] 何学雄[1] 

机构地区：[1]温州市第二人民医院神经外科,温州325000

出　　处：《中国临床神经外科杂志》2009年第7期395-396,400,共3页Chinese Journal of Clinical Neurosurgery

基　　金：温州市科技发展计划项目(S2002A146)

摘　　要：目的研究支架成形术治疗症状性椎动脉起始部狭窄的效果及安全性。方法对28例症状性椎动脉起始部狭窄的患者行腔内支架成形术治疗。28例患者均成功地植入球囊扩张式支架,无1例发生严重并发症。结果术后患者动脉狭窄程度均明显改善,症状均得到改善。6例患者获得脑血管造影随访,其中1例出现约50%的再狭窄。结论支架成形术是治疗症状性椎动脉起始部狭窄的安全、有效的方法,其长期的效果还需要进一步随访研究。Objective To study the curative effect of transluminal stenting on the symptomatic vertebral artery origin stenoses and its safety. Methods Transluminal angioplasty with balloon-expansible stent was performed in 28 patients with the symptomatic vertebral origin artery- stenoses. Results The balloon-expansible stents were successfully placed in all the patients, in whom the degree of stenosis and clinical symptoms were significantly improved. No severe complications occurred in all the cases. Of 6 patients followed up by cerebral angiography, 1 suffered from vertebral artery origin restenosis about 50% and 5 did not. Conclusion Endovascular stenting for the treatment of the symptomatic vertebral artery origin stenoses is safe and effective, but the long-term curative effect of endovascular stenting on the symptomatic vertebral artery origin stenoses should be further observed.

关 键 词：椎动脉狭窄 支架 成形术 脑血管造影 

分 类 号：R743.9[医药卫生—神经病学与精神病学] R815[医药卫生—临床医学]