症状性基底动脉重度狭窄球囊扩张支架治疗效果及安全性分析  

Stenting of symptomatic severe stenosis of basilar artery:efficacy and safety

作　　者：石向群[1] 杨金升[1] 侯雪媚[1] 张志强[1] 尹榕[1] 杨军[1] 张晓燕[1] 

机构地区：[1]兰州军区兰州总医院神经内科,甘肃兰州730050

出　　处：《西北国防医学杂志》2011年第6期431-433,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:探讨症状性基底动脉重度狭窄血管内球囊扩张支架治疗效果及安全性。方法:收集我院2008-01～2010-08经全脑血管造影诊断的经球囊扩张支架治疗的症状性基底动脉重度狭窄的9例临床资料,分析技术成功率、围手术期并发症、随访期卒中发生及再狭窄等情况。结果:共收集符合入选标准的病例9例,年龄53～68岁,平均随访时间为10.8月;技术成功率为90%(9/10),围手术期出现1例无症状性枕叶梗死事件,未出现其他并发症和死亡病例;随访期间未出现新发卒中及死亡病例事件。结论:积极药物治疗基础上的球囊扩张支架治疗基底动脉重度狭窄是安全、有效的,但围手术期存在一定的脑梗死事件风险。Objective：To evaluate the efficacy and safety of stenting for symptomatic severe stenosis（80% lumen reduction） of basilar artery.Methods：Nine patients with symptomatic severe stenosis of basilar artery were included in this study.Perioperation and follow-up phase complication causes,management and prognosis were further discussed.Results：The technical success rate was 90%（9/10） for total lesions,100%（8/8） and 50%（1/2） for type A and B lesions,respectively.In perioperation there was no severe complication in the 6 patients.Minor complications included 1 case of asymptomatic ischemic stroke in occipital lobe.There was no recurrence of ischemic stroke and death in 9 patients during the mean 10.8 months of follow-up,but one of the 3 patients showed stenosis at proximal to stent by CT angiography.Conclusion：Stenting based on drug treatment appears to be an effective and feasible therapy for symptomatic severe stenosis of basilar artery,but also exists the perioperative complication risk.

关 键 词：脑梗死 基底动脉 支架 狭窄 

分 类 号：R743.33[医药卫生—神经病学与精神病学]