经皮血管内支架成形术治疗锁骨下动脉狭窄临床观察  

Clinical Observation of Percutaneous Endovascular Stent in Treatment of Subclavian Artery Stenosis

作　　者：禹书宝[1] 朱青峰[1] 王凤伟[1] 康杰[1] 

机构地区：[1]解放军264医院神经外科,太原030001

出　　处：《解放军医药杂志》2013年第6期33-35,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：山西省科技攻关课题(20120313018-2)

摘　　要：目的探讨经皮血管内支架成形术治疗锁骨下动脉狭窄的临床效果。方法解放军264医院2006年5月—2011年12月收治锁骨下动脉狭窄8例,行经皮血管内支架成形术治疗。结果经皮血管内支架成形术后8例锁骨下动脉狭窄程度较术前显著减轻(P<0.01),患肢麻木、冰凉、无脉症状完全消失。围术期无一例并发症发生,术后无缺血性脑卒中发作。随访6～10个月无复发。结论经皮血管内支架成形术治疗锁骨下动脉狭窄是一种安全有效的微创治疗方法,操作简单,临床效果好,且没有增加后循环缺血的发生率。Objective To investigate the clinical effect of percutaneous endovascular stent in treatment of sub- clavian artery stenosis. Methods Eight patients with subclavian artery steuosis in our hospital during May 2006 and De- cember 2011 underwent percutaneous endovascular stent. Results The postoperative stenosis of subclavian artery were significantly released than that before operation （P 〈 0.01 ） , there was no affected extremity numbness, cold, pulseless symptom and intraoperative period complication. No cerebral ischemic stroke occurred after operation, and there was no recurrence in 6-10 months of follow-up. Conclusion Pereutaneous intravascular stent angioplasty in treatment of subcla- vian artery stenosis is a safe, effective and minimally invasive method, which has the good results with no incidence rate increase of the posterior circulation ischemia.

关 键 词：锁骨下动脉窃血综合征 血管成形术 支架 

分 类 号：R651.12[医药卫生—外科学]