局麻下颅内动脉狭窄支架置入术的可行性研究  

Investigation of Stent Implantation for Intracranial Arterial Stenosis at the Conscious State

作　　者：陈阳[1] 贾晓军[2] 周华东[1] 

机构地区：[1]第三军医大学大坪医院神经内科,400042 [2]山西太原解放军264医院神经内科

出　　处：《解剖与临床》2010年第5期311-313,共3页Anatomy and Clinics

摘　　要：目的：探讨在清醒状态下颅内动脉狭窄支架置入术的可行性及临床意义。方法：2007年2月到2008年1月，在局麻下应用血管内支架置入术治疗颅内动脉狭窄患者12例，其中颈内动脉系狭窄7例，椎-基底动脉系狭窄5例。结果：本组12例均成功接受了血管内支架置入，术中患者清醒，配合良好，无不良反应。术后6个月复查DSA提示，颅内动脉狭窄程度由原来的67．5％±9．5％下降至9．5％±2．8％（P〈0．01）。随访12～23个月，12例患者症状均改善，无卒中发生。结论：局麻下行血管内支架置入术治疗颅内动脉狭窄，可将重要并发症的危险性降到最低；颅内动脉痛觉神经并不敏感，完全可以承受介入支架置入操作。Objective：To investigate the feasibility and clinical significance of treating intracranial arterial stenosis by stent implantation with local anesthesia at the conscious state. Methods： 12 cases intracranial arterial stenosis were treated by intracranial angioplasty with local anesthesia from Feb. 2007 to Jan. 2008, including 7 cases of intracranial carotid artery stenosis, 5 cases of vertebral- basilar artery stenosis. Results： 12 patients with intracranial arterial stenosis received stent implantation successfully, the patients were conscious without any complications. In the reexamination after 6 months, the DSA manifested that the intracranial arterial stenosis of 12 patients decreased from 67.5 % ±9.5 % down to 9.5 % ±2.8 % significantly （ P 〈 0. 01 ）. 12 - 23 months follow- up showed that there was symptom improvement in all the patients and no stroke occurred. Conclusions ： The risk of severe complications will be reduced to minimum, for treating intracranial arterial stenosis by stent implantation with local anesthesia. The pain nerves of intracranial artery are not sensitive , they can completely bear the operation of interventional stent.

关 键 词：颅内动脉狭窄 局部麻醉 血管成形术 支架 

分 类 号：R743.3[医药卫生—神经病学与精神病学]