双支架植入治疗锁骨下动脉闭塞/狭窄伴相邻椎动脉起始部狭窄  

Dual stent placements for occlusion/stenosis of subclavian artery associated with stenosis of adjacent vertebral artery initial site

作　　者：慕伟[1] 刘玉娥[1] 张婧娴[1] 申景[1] 高峰[1] 苏泽文[1] 刘小军[1] 王海燕[1] 

机构地区：[1]山西省人民医院介入科,太原030012

出　　处：《介入放射学杂志》2015年第10期865-868,共4页Journal of Interventional Radiology

基　　金：山西省卫生厅科技攻关计划项目(200805)

摘　　要：目的评估双支架植入治疗锁骨下动脉闭塞／狭窄伴相邻椎动脉起始部狭窄的效果。方法回顾性分析9例锁骨下动脉闭塞／狭窄伴相邻椎动脉起始部狭窄患者的资料．所有患者在锁骨下动脉和椎动脉分别植入支架，并于术后3-12个月随访。根据患者临床症状、彩色多普勒超声（彩超）检查结果等评价疗效。结果9例患者均成功植入2枚支架，手术技术成功率为100％。术后患者锁骨下动脉和椎动脉血流通畅。随访结果显示9例患者自觉症状显著改善，均无手术相关严重并发症，彩超检查显示支架内无再狭窄、支架无移位。结论双支架植入术治疗锁骨下动脉闭塞／狭窄伴相邻椎动脉起始部狭窄的效果显著，是一种安全、可行的改善椎基底动脉供血不足的方法。Objective To evaluate the efficacy of dual stent placements for the treatment of occlusion/ stenosis of subclavian artery associated with stenosis of adjacent vertebral artery initial site. Methods The clinical data of 9 patients with ocelusion/stenosis of subclavian artery associated with stenosis of adjacent vertebral artery initial site were retrospectively analyzed. Stent implantations in the affected subclavian artery and vertebral artery were separately performed; the patients were followed up for 3-12 months after the treatment. The therapeutic efficacy was evaluated with the clinical symptoms and Doppler ultrasonic examination. Results Successful implantation of two stents was accomplished in all 9 patients, with the technical success rate of 100%. After the treatment, the blood flow in both the subclavian and vertebral arteries was unobstructed. Following-up examination showed that the subjective symptoms were obviously improved in all 9 patients, and no serious procedure-related complications occurred. Doppler ultrasound examination showed that no in-stent restenosis or stent displacement was observed. Conclusion For the treatment of occlusion/stenosis of subclavian artery associated with stenosis of adjacent vertebral artery initial site, dual stent placement technique is a safe and feasible means with satisfactory effect in improving vertebro-basilar arterial insufficiency.

关 键 词：椎基底动脉供血不足 支架 锁骨下动脉 椎动脉 

分 类 号：R654.3[医药卫生—外科学]