老年椎动脉起始部狭窄患者经皮血管内支架置入术治疗体会  

Therapy for elderly patients with stenosis in initial segment of vertebral artery by percutaneous intravascular stent angioplasty

作　　者：王东升[1] 刘英姿[1] 李宝民[2] 王君[2] 

机构地区：[1]大庆市人民医院神经内科,163316 [2]解放军总医院神经外科

出　　处：《中华老年心脑血管病杂志》2011年第12期1112-1114,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的评价老年椎动脉起始部狭窄患者经皮血管内支架置入术治疗的有效性和安全性。方法选择老年椎动脉起始部狭窄患者30例,行血管内支架置入治疗,分析患者手术前后血管狭窄情况,随访再狭窄率。结果椎动脉起始部狭窄患者狭窄率从术前(79.4±13.3)%下降至术后的(13.2±8.5)%。30例患者临床症状明显改善。随访1～38个月,有2例发生再狭窄。结论血管内支架治疗可明显改善老年椎动脉起始部狭窄引起的临床缺血症状,是一种安全有效的方法,近期疗效满意,但仍缺乏远期及大样本的临床观察。Objective To assess the effectiveness and safety of the treatment of the patients with stenosis in initial segment of vertebral artery by pereutaneous intravascular stent angioplasty. Methods 30 older patients with stenosis in initial segment of vertebral artery received the intra vascular stent treatment,and the vessel stenosis rate of pre-and post operation was analyzed,and restenosis rate was followed-up . Results The rate of vertebral artery stenosis was decreased from（79.4±13.3）% to（13.2±8.5）% after treatment. The clinical symptoms of 30 patients were obviously improved, the restenosis recurrence was followed-up during 1--38 months. Conclusion Endovascular stent can significantly improve the stenosis of the initial segment of vertebral artery. It is a safe and effective therapy with a satisfactory short-term effect, however, that still needs a long-term clinical observation and large sample.

关 键 词：椎底动脉供血不足 动脉粥样硬化 支架 血管成形术 经腔 经皮冠状动脉 血小板聚集抑制剂 

分 类 号：R743[医药卫生—神经病学与精神病学]