抗磷脂综合征合并颈内动脉闭塞患者药物涂层球囊扩张血管成形术一例  

Drug-coated balloon angioplasty for carotid artery occlusion in patient with antiphospholipid syndrome:case report

作　　者：孙建飞 吴一娜 朱时杰 黄清海 Sun Jianfei;Wu Yi′na;Zhu Shijie;Huang Qinghai(Cerebrovascular Disease Center,the First Affiliated Hospital of Naval Military Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院脑血管病中心,上海200433

出　　处：《中国脑血管病杂志》2024年第4期253-256,共4页Chinese Journal of Cerebrovascular Diseases

基　　金：国家自然科学基金(82371314);海军军医大学第一附属医院“234学科攀峰计划”(2020YXK021)。

摘　　要：抗磷脂综合征(APS)是一种少见具有高致栓性的自身免疫性疾病,对于APS合并非急性脑供血动脉闭塞的最佳治疗方案仍不明确。作者报道1例采用药物涂层球囊扩张血管成形术进行再通治疗的APS合并颈内动脉非急性闭塞患者,术后7个月DSA复查血管保持通畅。药物涂层球囊具有无支架置入的特点,可降低再狭窄发生率,在该类高致栓性患者中可能具有一定的优势。Antiphospholipid syndrome(APS)is a rare autoimmune disease with high thrombosis risk.The optimal treatment for non-acute cerebral arterial occlusion in APS patients is still unclear.A case of APS patient with non-acute occlusion of the carotid artery with drug-coated balloon(DCB)angioplasty for recanalization was reported.The patient had vessel patency at 7-month follow-up by digital subtraction angiography.The DCB has the advantage of no stent implantation and can reduce the risk of restenosis,making it more beneficial for such high thrombosis risk patients.

关 键 词：抗磷脂综合征 颈动脉闭塞 球囊扩张 血管成形术 

分 类 号：R743.3[医药卫生—神经病学与精神病学]