远端保护装置下血管内治疗椎动脉开口狭窄  

Treatment ostium of vertebral artery stenosis using stent assisted angioplasty under distal protective device

作　　者：袁波[1] 谭莉[1] 黄晓松[1] 刘秋庭[1] 

机构地区：[1]湖南省第二人民医院神经内三科,长沙410007

出　　处：《脑与神经疾病杂志》2016年第1期27-31,共5页Journal of Brain and Nervous Diseases

摘　　要：目的评价在远端保护装置下采用血管内支架成形术治疗椎动脉开口狭窄的安全性及疗效。方法分析22例椎动脉开口狭窄患者行椎动脉开口支架成形术时应用远端保护装置,并对手术疗效及并发症进行分析。结果在远端保护装置下22例患者共置入22个支架,术后椎动脉开口造影证实,狭窄由76.0%±9.6%下降至13.9%±3.2%。技术成功率95.4%,1例因血管痉挛,放置保护装置失败。在1、3、6个月随访时按Malek评分,12例评定分为1分,10例评定分为2分。结论在保护装置下治疗椎动脉开口狭窄效果确切。Objective To assess the feasibility,safety using stent assisted angioplasty under distal protective device for treatment on ostium of vertebral artery stenosis. Methods The operation strategy and effects were analysed retrospectively for 22 patients who using stent assisted angioplasty under distal protective device,analysis operation effect and complication. Rseults Twenty- two patients of ostium of vertebral artery stenosis using stent assisted angioplasty under distal protective device implant 22 stents,The stents of nineteen patients were correctly placed based on angiography. The mean degree of stenosis decr eased from 76.0% ±9.6% beforethe pr ocedure to 13.9% ±3.2%） after stenting,operation achievement ratio is 95. 4%,one patient was failure because angiospasm after using protective device,and in 1,3,6 month follow up,according to Malek scale,15 patients belonged to scale 1,and 7 patients belonged to scale 2. Conclusion Using protective device and stent assisted angioplasty for tr eatment on ostium of vertebral artery stenosis is safe and feasible.

关 键 词：远端保护装置 椎动脉开口狭窄 血管内支架成形术 

分 类 号：R734.32[医药卫生—肿瘤]