经皮血管内支架成形术治疗脑动脉狭窄的近期疗效分析  

Short-term outcomes of percutaneous stenting for cerebral artery stenosis

作　　者：牛国忠[1] 殷聪国[1] 唐波[1] 蒋琳[1] 孟庆莲[1] 王伟平[1] 陈琰[1] 

机构地区：[1]杭州市第一人民医院神经内科,杭州310006

出　　处：《中华老年心脑血管病杂志》2009年第8期567-569,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨经皮血管内支架成形术治疗脑动脉狭窄的临床疗效。方法选择经全脑数字减影血管造影术证实的脑动脉狭窄患者62例,均行经皮血管内支架成形术,观察疗效,并进行随访。结果 62例患者成功置入支架74枚,58例患者血管狭窄减少>80%,4例患者减少>70%,其中37例应用脑保护装置,均成功释放及回收,3例患者术中因低血压、低灌注出现偏瘫,经救治恢复。3例患者术后出现肺部感染、心功能不全等并发症。结论经皮血管内支架成形术治疗脑动脉狭窄是有效安全的。Objective To introduce exactly the procedure of stent-asssisted angioplasty for cerebral artery stenosis and summarize the experience of stenting in 62 patients with cerebral stenosis. Methods Sixty-two patients with severe cerebral artery stenosis were treated with stent implantation and 74 stents were implanted. Of them, forty-one were implanted in carotid artery, thirty vertebrobasilar artery,three subclavian artery. Thirty-seven of these patients were operated under cerebral protection. Results Stents were successfully implanted in all patients. The degree of stenosis reduced more than 80% in 58 patients and 70% in 4 patients. Thirty-seven filter devices for cerebral protection were used successfully. During periprocedure period, three patients had loss of consciousness and/or acroparalysis because of low blood pressure, and recovered after salvage. Three patients aged over 80 suffered from pulmonary infection and acute cardiac insufficiency af- ter the procedure. Conclusion Percutaneous endovascular stenting is effective technique in curing cerebral artery stenosis. The experienced doctor can perform this procedure safely. The operation will be safer if cerebral protection device is used.

关 键 词：脑动脉疾病 支架 血管成形术 气囊 血管造影术 数字减影 随访研究 

分 类 号：R743.3[医药卫生—神经病学与精神病学]