锁骨下动脉窃血综合征的血管内支架治疗  

Endovascular stent implantation for the treatment of subclavian steal syndrome

作　　者：何旭[1] 顾建平[1] 楼文胜[1] 陈亮[1] 陈国平[1] 苏浩波[1] 宋进华[1] 汪涛[1] 徐克[2] 

机构地区：[1]南京医科大学附属南京第一医院介入科,210006 [2]中国医科大学附属第一医院放射科

出　　处：《介入放射学杂志》2012年第4期289-292,共4页Journal of Interventional Radiology

基　　金：国家科技部"十一五"科技支撑计划(2007BAI05B04)

摘　　要：目的探讨血管内支架治疗锁骨下动脉窃血综合征的价值。方法对13例锁骨下动脉狭窄或闭塞性病变患者行血管内支架置入治疗,其中左锁骨下动脉近段重度狭窄7例、闭塞6例。结果 13例患者锁骨下动脉均成功置入内支架(均为自膨胀支架),术后患侧桡动脉、肱动脉搏动恢复正常,原有窃血现象消失,椎动脉顺行显影良好,4例锁骨下动脉完全闭塞患者采用经患侧肱动脉逆行法穿刺置入支架。结论血管内支架置入术治疗锁骨下动脉窃血综合征是一种安全、有效的微创治疗方法。Objective To discuss the application of intravascular stent implantation in the treatment of subclavian steal syndrome. Methods Endovascular stent implantation was performed in thirteen patients with subclavian stem syndrome caused by severe stenosis of the proximal segment of subclavian artery （n = 7） or by arterial occlusive lesions （n = 6）. Results Self-expandable stent placement was successfully performed in all 13 patients. The pulse of the radial artery and the brachial artery returned to normal after the treatment. The retrograde blood flow in vertebral arteries disappeared and the subclavian steal phenomenon vanished. The retrograde brachial arteries puncture was employed in 4 patients with complete occlusion of subclavian artery. Conclusion For subclavian steal syndrome, endovascular stent implantation is a safe, effective and minimally-invasive therapeutic method.（J Intervent Radiol, 2012, 21： 289-292）

关 键 词：锁骨下动脉窃血综合征 介入 支架 

分 类 号：R445.1[医药卫生—影像医学与核医学]