杂交支架用于重度颈动脉狭窄治疗的研究  

Study of hybrid stent on treating of severe carotid artery stenosis

作　　者：李军荣[1] 李圣华[1] 陈来明[1] 陈季南[1] 沈鑫[1] 

机构地区：[1]南京医科大学附属江宁医院神经内科,211100

出　　处：《临床神经病学杂志》2013年第4期257-259,共3页Journal of Clinical Neurology

摘　　要：目的研究杂交支架治疗重度颈动脉狭窄的疗效和安全性。方法使用杂交支架对21例缺血性脑血管病合并重度颈动脉狭窄患者进行颈动脉支架成形术。术后观察血管狭窄程度及不良反应,随访6个月观察脑血管事件的发生。结果所有患者均顺利完成手术,共置入支架23枚。术后脑血管造影示颈动脉狭窄程度均≤20%。术中出现颈动脉窦综合征5例,血管痉挛2例,支架远端血管栓塞1例,经治疗均恢复。术后6个月时,患者均未发生与手术侧颈动脉相关的脑血管事件。结论颈动脉杂交支架治疗重度颈动脉狭窄效果显著,能减少脑血管事件的发生,且比较安全。Objective To research the efficacy and safety of hybrid stent on treating of severe carotid artery stenosis. Methods Twenty-one ischemic cerebrovascular disease patients with severe carotid artery stenosis were treated by carotid artery stenting. The degree of angiostenosis and adverse reaction were observed after operation. Cerebrovascular event were observed during a follow-up period of 6 months. Results The operation was completed smoothly in all the patients, and a total of 23 stents were implanted. Brain angiography after operation showed the degree of carotid angiostenosis was all ~〈20%. During the operation, carotid sinus syndrome was in 5 cases, vasospasm in 2 cases and blood vessel embolism in the distant terminal of implanted stents in 1 case; and they were reeovered by treatment. There was no cerebrovascular event related carotid artery in operation side at 6 months after operation. Conclusions There is a remarkable effect of hybrid stent on treating severe carotid artery stenosis. It can decrease the incidence of cerebrovascular events, and it is safe.

关 键 词：颈动脉狭窄 颈动脉支架成形术 杂交支架 

分 类 号：R743.3[医药卫生—神经病学与精神病学]