椎动脉起始部狭窄支架成形术的疗效观察  

Curative observation of stent-assisted angioplasty for treatment of vertebral origin stenosis

作　　者：李方明[1] 刘亚杰[2] 黎冠东[1] 梁宇闯[1] 高娟碧[1] 

机构地区：[1]广东江门市中心医院神经内科,江门529070 [2]南方医科大学附属珠江医院神经内科,广州510282

出　　处：《中国实用神经疾病杂志》2012年第24期10-13,共4页Chinese Journal of Practical Nervous Diseases

摘　　要：目的评估椎动脉起始部支架成形术的安全性及近期疗效。方法对34例患者(36处病变)椎动脉开口部狭窄行支架成形术治疗,评估其技术成果率、围手术期并发症及近期疗效。结果 36处病变共成功置入球囊扩张支架35枚,技术成功率为97.2%(35/36),术后即刻造影,显示残余狭窄均<20%,围手术期未发现急性闭塞、动脉夹层、脑出血等并发症。随访1a,发生支架内再狭窄6例(再狭窄≥50%),再狭窄率17.1%。结论椎动脉开口部支架成形术成功率高、风险小,是一种安全有效的血管内治疗方法,再狭窄为亟待解决的主要问题。Objective To evaluate the safety and short-term results of stent-assisted angioplasty for treatment of vertebral origin stenosis.Methods Thirty-four patients（36 lesions） vertebral artery origin stenosis were treated with stent-assisted angioplasty treatment,and the technical achievement ratio,operation complication and short-term efficacy were assessed.Results The stents of thirty-four patients（36 lesions） were correctly placed,the technical success rate was 97.2%（35/36）,postoperative angiography revealed residual stenosis20%,no acute occlusion,arterial dissection,cerebral hemorrhage and other complications in preoperative period.After a follow-up period of 1 year,in-stent restenosis in 6 cases（stenosis50%）,the restenosis rate was 11.4%.Conclusion The success rate of vertebral artery origin stent angioplasty is high,the risk is small.It is a safe and effective treatment method.Restenosis is the main problem demanding prompt solution.

关 键 词：椎动脉起始部 严重狭窄 支架成形术 

分 类 号：R743.4[医药卫生—神经病学与精神病学]