左右颈动脉支架植入术发生颈动脉窦综合征比较  

Carotid sinus syndrome occurring during carotid stent implantation procedure:comparison of the occurrence rate between the left and right carotid arteries

作　　者：任崇文 孙鹏 韩敏[2] 贾增强 岳文峰 王广杰 

机构地区：[1]山东省东营市人民医院脑血管病中心,257091 [2]济南市第五人民医院神经外科

出　　处：《介入放射学杂志》2016年第7期568-570,共3页Journal of Interventional Radiology

摘　　要：目的 对比分析左右两侧颈内动脉分别行球囊扩张颈动脉支架植入术（CAS）时发生颈动脉窦综合征（CSS）的差异。方法 回顾性分析64例接受CAS术颈动脉狭窄患者,男36例,女28例,平均年龄62.7岁（49-75岁）;右侧颈动脉狭窄36处、左侧颈动脉狭窄30处,2例患者为双侧狭窄;重度狭窄（〉70%）37处,狭窄伴溃疡（30%-70%）29处;共植入66枚支架。术中均选用Wallstent自膨式支架。结果 36处接受右侧CAS术治疗颈动脉狭窄中发生重度CSS 5处、中度19处、轻度12处,发生率分别为13.89%、52.78%、33.33%;30处接受左侧CAS术治疗颈动脉狭窄中发生重度CSS 3处,中度10处、轻度17处,发生率分别为10.00%、33.33%、56.67%。两组数据差异有统计学意义（P〈0.05）。结论 CSS是CAS术时常见并发症,右侧颈动脉行CAS时CSS发生率高于左侧。Objective To compare the occurrence rate of carotid sinus syndrome （CSS） during the performance of balloon-dilated carotid artery stenting （CAS） between the left and fight internal carotid arteries. Methods The clinical data of 64 patients with carotid artery stenosis, who had received CAS, were retrospective analyzed. The patients included 36 males and 28 females, with a mean age of 62.7 year old （49-75 years）. A total of 36 stenotie sites of the right carotid arteries and 30 stenotic sites of the left carotid arteries were detected; in two patients the carotid artery stenosis was bilateral. Severe stenosis （〉70%） was seen in 37 lesions, and stenosis with ulcer plaque （30%- 70%） was observed in 29 lesions. A total of 66 stents were implanted. Wallstent self-expanding stent was adopted in all patients. Results During the performance of CAS for 36 fight carotid stenotic sites, the severe, moderate and mild CSS occurred in 5 （13.89%）, 19 （52.78%） and 12 （33.33%） cases respectively, while for 30 left carotid stenotie sites the severe, moderate and mild CSS occurred in 3 （10.00%）, 10 （33.33%） and 17 （56.67%） cases respectively. The differences in the occurrence rate of CSS between the fight group and the left group were statistically significant（P〈0.05）. Condttsion CSS is a common complication in performing CAS. The occurrence of CSS of the fight carotid CAS is higher than that of the left carotid CAS （J Intervent Radiol, 2016, 25： 568-570）

关 键 词：颈动脉狭窄 血管成形 支架植入 脑卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学]