大脑中动脉植入长支架的技巧和安全性探讨  

Skills,safety and feasibility of long stent implants in the middle cerebral artery

作　　者：刘同库[1] 李威[2] 王凤章[2] 

机构地区：[1]北华大学附属医院心血管病诊疗中心,吉林132011 [2]北华大学附属医院神经内科

出　　处：《中国综合临床》2011年第2期146-148,共3页Clinical Medicine of China

摘　　要：目的 探讨大脑中动脉长支架植入的技巧和安全性。方法1例58岁的女性患者，因反复发作性右侧肢体功能障碍，全脑血管造影显示左侧大脑中动脉M1至M2段狭窄性长病变，病变长度约13～14mm，狭窄90％～95％，病变血管直径为2．5mm。在局部麻醉下植入2．5mm×15．0mm的雷帕霉素洗脱支架。结果成功植入了支架，造影示无残余狭窄，血流TIM1.3级。随访14个月，患者无任何不良事件发生。结论在掌握长支架植入技巧的情况下，大脑中动脉长病变植入长支架治疗效果好且安全可行。Objective To discuss the skills, safety and feasibility of the long stent implants in the middle cerebral artery in brain. Methods One 58-year-old female patient suffered from recurrent right limb dysfunction was chosen as the subjective. The cerebral angiography showed long stenosis lesions （90% -95% ） in left middle cerebral artery from M1 to M2, with the length of 13 - 14 mm and the vascular diameter of 2. 5 mm. Under local anesthesia a 2. 5 mm × 15.0 mm rap amycin-eluting stent was implanted into left middle cerebral artery. Results The stent was successfully implanted with no residual stenosis, and with TIMI 3 level blood flow. The patient had no adverse events during 14-month follow up. Conclusion With good implanting skills,long stent implantation in middle cerebral artery is safe and feasible.

关 键 词：大脑中动脉 狭窄 长支架 植入技术 可行性 安全性 

分 类 号：R743.3[医药卫生—神经病学与精神病学]