血管内再通治疗有症状慢性颈内动脉闭塞:19例病例系列研究  

Endovascular recanalization for symptomatic chronic internal carotid artery occlusion:a study of 19 cases

作　　者：阿布都热合曼·阿卜拉 玉苏甫·马合木提 苏日青[1] 卡合尔曼·卡德尔[1] 买买提力·艾沙[1] 姑丽克孜·买买提热夏提 王凯[1] 成晓江[1] Abudureheman Abula;Yusufu Mahemuti;Su Riqing;Kaheerman Kadeer;Maimaitili Aisha;Gulikezi Maimaitirexiati;Wang Kai;Cheng Xiaojiang(Neurosurgery Center of the First Affiliated Hospital of Xinjiang Medical University,Urumchi 830043,China;College of Public Health,Xinjiang Medical University,Urumchi 830011,China)

机构地区：[1]新疆医科大学第一附属医院神经外科中心,乌鲁木齐830043 [2]新疆医科大学公共卫生学院,乌鲁木齐830011

出　　处：《国际脑血管病杂志》2021年第11期825-829,共5页International Journal of Cerebrovascular Diseases

摘　　要：目的探讨血管内介入再通术治疗有症状慢性颈内动脉闭塞(chronically occluded ICA,COICA)的有效性和安全性。方法回顾性纳入2014年1月至2019年1月在新疆医科大学第一附属医院神经外科接受血管内介入再通治疗的50岁以上有症状COICA患者。采用改良Rankin量表(modified Rankin Scale,mRS)评价神经功能转归改善。结果共纳入19例有症状COICA患者,其中16例(84.21%)成功再通。所有患者在围手术期及术后均未出现严重神经功能缺损。成功再通患者神经功能随时间逐渐改善,血管内治疗术后24 h有4例(25.0%)、术后18个月随访时有9例(56.3%)神经功能改善。CT血管造影随访显示,成功再通患者颈内动脉均血流通畅,未见明显支架内狭窄。结论血管内再通治疗有症状COICA患者可行、安全且有效。Objective To investigate the efficacy and safety of endovascular recanalization in the treatment of chronically occluded internal carotid artery(COICA).Methods From January 2014 to January 2019,patients over 50 years of age with symptomatic COICA underwent endovascular recanalization in the Department of Neurosurgery of the First Affiliated Hospital of Xinjiang Medical University were enrolled retrospectively.The modified Rankin Scale(mRS)was used to evaluate the improvement of neurological function.Results A total of 19 patients with symptomatic COICA were enrolled,of which 16(84.21%)were successfully recanalized.None of the patients had severe neurological deficits during the periprocedural period and after procedure.The neurological function of patients with successful recanalization gradually improved over time.The neurological function improved in 4 patients(25.0%)at 24 h after endovascular treatment and 9(56.3%)at 18 months postprocedural follow-up.The follow-up of CT angiography showed that the internal carotid artery in patients with successful recanalization was unobstructed,and there was no obvious in-stent stenosis.Conclusion Endovascular recanalization is feasible,safe and effective in patients with symptomatic COICA.

关 键 词：颈动脉疾病 颈内动脉 血管内手术 治疗结果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]