颅内外缺血性多血管病变的介入治疗选择  

Endovascular stenting of ischemic cerebrovascular disease caused by multiple internal carotid artery and vertebral artery stenosis

作　　者：张志强[1] 石向群[1] 尹榕[1] 侯雪湄[1] 邵少举[1] 

机构地区：[1]兰州军区兰州总医院,甘肃兰州730050

出　　处：《西北国防医学杂志》2014年第6期526-529,共4页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的：通过选择性介入治疗颅内外缺血性多血管狭窄性病变,评价多血管病变介入治疗的安全性。方法：对150例颅内外缺血性多血管病变介入治疗的相关资料进行系统性回顾。结果：1150例多血管病变者,双侧颈内动脉同时狭窄〉70%者47例;单侧颈内动脉狭窄并单（或双）椎动脉狭窄〉70%者61例;双侧椎动脉狭窄〉70%者23例;单侧血管颅内外串联病变均需处理者19例。2共成功植入支架218枚,围手术期并发症5例（3.33%）,126例患者术后6-12个月随访无短暂性脑缺血发作及新发脑梗死。结论：通过对颅内外缺血性多血管狭窄性病变的介入治疗选择,可减少围手术期及远期并发症。Objective： To study the safety, feasibility and effect of interventional therapy for ischemic cerebrovascular disease caused by multiple stenosis of carotid and vertebral arteries. Methods： The clinical data of 150 patients with symptomatic carotid and vertebral artery stenosis were retrospectively analyzed. Results：Of 150 patients, 47 had bilateral severe internal carotid artery stenosis, 61 had unilateral severe internal carotid artery stenosis with unilateral or bilateral severe vertebral artery stenosis, 23 had bilateral severe vertebral artery stenosis, and 19 had tandem symptomatic internal carotid artery and middle cerebral artery stenosis. A total of 218 stents were successfully placed for 150 complications were found in 5 patients. During follow-up period of 6 to transient ischemic attack and new cerebral infarction occurred. Conclusion patients, and the perioperative 12 months for 126 patients,no ：The interventional therapy by endovascular stenting for multiple internal carotid artery and vertebral artery stenosis is safe, feasible and effective,with lower perioperative morbility.

关 键 词：脑血管病 血管狭窄 多发 支架介入 选择 

分 类 号：R743.9[医药卫生—神经病学与精神病学]