支架植入术在颅外段症状性颈动脉狭窄中的应用  

Application of Stenting in Symptomatic Extracranial Carotid Stenosis

作　　者：陈小奇[1] 许康[1] 马宁[2] 袁怀武[2] 但毕堂[1] 宋林[1] 

机构地区：[1]湖北省新华医院神经内科,武汉430015 [2]首都医科大学附属北京天坛医院急诊介入科,北京100050

出　　处：《神经损伤与功能重建》2012年第4期275-277,共3页Neural Injury and Functional Reconstruction

摘　　要：目的:观察支架植入术在颅外段症状性颈动脉狭窄中的临床疗效。方法:回顾性分析行支架植入术的颅外段症状性颈动脉狭窄患者60例的临床资料,评价手术的临床疗效。结果:颈动脉支架60枚全部准确释放,颈动脉狭窄均成功解除;术后残余狭窄率<20%;临床症状消失或好转55例,症状缓解不明显5例;发生一过性心率、血压下降11例,发生高灌注综合症1例,发生TIA1例,经积极治疗均好转;术后30d随访未再发生脑血管事件。结论:颅外段症状性颈动脉狭窄的患者行支架植入术治疗安全、有效。Objective： To evaluate the clinical efficacy of stenting in patients with symp- tomatic extracranial carotid stenosis. Methods： Sixty cases of symptomatic extracranial carotid stenosis were enrolled in our study. They were all applied with stenting. The clinical date was analyzed to evaluate the therapeutic effect of stenting. Results： All stents were released accurately without death. The narrow rate after surgery was less than 20%. The clinical symptoms disap- peared or were relieved in 55 patients. Transient drop of heart rates or blood pressure occured in 11 patients. One patient presented high perfusion syndrome and one case showed transient ische- mic attacks. The symptoms were attenuated or recovered after treatment. No recurrence of eere- brovascular event was found in thirty days after surgery. Conclusion： Carotid artery stenting surgery is a safe and effective treatment for patients with symptomatic extracranial carotid stenosis.

关 键 词：支架 颈动脉狭窄 应用 

分 类 号：R741[医药卫生—神经病学与精神病学] R741.05[医药卫生—临床医学]