高危症状性颈动脉狭窄的介入治疗  

Interventional treatment of high risk symptomatic carotid artery stenosis

作　　者：朱金良 陈仁智 陈倾江 彭永光 ZHU Jinliang;CHEN Renzhi;CHEN Qingjiang;PENG Yongguang(Department of Neurological,the First People's Hospital of Loudi,Loudi,Hunan 417099,China)

机构地区：[1]娄底市第一人民医院神经内科,湖南娄底417000

出　　处：《医药前沿》2024年第12期1-5,共5页Journal of Frontiers of Medicine

摘　　要：目的:了解高危颈动脉狭窄患者血管内介入治疗的安全性及有效性。方法:选取2021年3月—2023年11月由娄底市第一人民医院收治的颈动脉狭窄住院患者18例为研究对象。予以经股动脉穿刺,在远端保护器保护下予以支架血管成形术。结果:所有患者均顺利地安装颈动脉支架,术后所有患者血管狭窄程度均<30%,同时没有出现如卒中、过量灌注等不良反应,因此手术的成功率达到了100%。结论:颈动脉支架成形术(CAS)为高风险颈动脉狭窄的诊疗提供了一种创新的方法,它是一种安全且实用的颈动脉狭窄治疗方法。Objective To investigate the safety and efficacy of endovascular therapy in high-risk patients with carotid artery stenosis.Methods A total of 18 inpatients with carotid artery stenosis were admitted to the First People's Hospital of Loudi from March 2021 to November 2023,including 10 males and 8 females.Femoral artery puncture and stent angioplasty was performed under the protection of a distal protector.Results Carotid stent implantation was successful in all patients,residual stenosis was less than 30%after vascular surgery,and no stroke,overperfusion and other complications,the success rate was 100%.Conclusions Carotid artery stenting(CAS)has opened up a new approach for the treatment of high-risk carotid artery stenosis,which was a safe and feasible means.

关 键 词：颈动脉狭窄 颈动脉支架成形术 症状性 

分 类 号：R543.4[医药卫生—心血管疾病]