经皮血管腔内支架成形术治疗椎动脉狭窄120例临床分析  

Percutaneous transluminal angioplasty and stenting in the treatment of vertebral artery stenosis treated with:Clinical analysis of 120 cases

作　　者：岳阳阳 叶远鹏 董健[1] 韩阳 黄勋 刘嘉欣 王吉昌[1] 冯骏[1] Yue Yangyang;Ye Yuanpeng;Dong Jian;Han Yang;Huang Xun;Liu Jiaxin;Wang Jichang;Feng Jun(Department of Vascular Surgery,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,Shaanxi,China)

机构地区：[1]西安交通大学第一附属医院血管外科,陕西西安710061

出　　处：《中国血管外科杂志(电子版)》2024年第4期355-358,共4页Chinese Journal of Vascular Surgery(Electronic Version)

基　　金：国家自然科学基金青年科学基金项目(82103563)。

摘　　要：目的探讨椎动脉狭窄患者的腔内血管治疗策略及安全性。方法回顾性收集西安交通大学第一附属医院2016年1月至2023年9月收治的120例接受经皮腔内手术治疗的椎动脉狭窄患者临床资料,分析其检查方式、手术结果和随访结果。结果81例术前接受颈部血管超声检查的患者仅26例提示椎动脉异常,13例在术前接受头颅CT血管造影检查的患者中,10例提示椎动脉异常。120例患者手术均取得成功,术后平均残余狭窄率为(5.47±2.97)%。患者围手术期均无死亡及脑梗死、脑出血等严重并发症发生。3例患者出现术后一过性高灌注综合征,1例出现穿刺口假性动脉瘤,均在短期内好转。113例患者获得随访,中位随访时间4.5年,椎动脉支架3年通畅率为90.74%。结论经皮血管腔内支架成形术治疗椎动脉狭窄围手术期并发症较少,可获得理想的血管重建效果。Objective To explore the strategy and safety of percutaneous transluminal angioplasty and stenting for patients with vertebral artery stenosis.Methods The clinical data of 120 patients with vertebral artery stenosis who underwent percutaneous transluminal angioplasty and stenting in the First Affiliated Hospital of Xi'an Jiaotong University from January 2016 to September 2023 were collected retrospectively.The examination methods,surgical results and follow-up results of patients were analyzed.Results Among the 81 patients who underwent neck vascular ultrasound examination before surgery,only 26 cases showed abnormal vertebral artery,while among the 13 patients who underwent cranial computed tomography angiography before surgery,10 cases showed abnormal vertebral artery.The surgery was successful in all 120 patients,and the average residual stenosis rate after surgery was(5.47±2.97)%.No death or serious complications such as cerebral infarction and cerebral hemorrhage occurred in the perioperative period.Three patients developed transient hyperperfusion syndrome after surgery,and one developed a pseudoaneurysm at the puncture site,both of which improved in a short period of time.113 patients were followed-up,with a median follow-up time of 4.5 years.The 3-year patency rate of vertebral artery stents was 90.74%.Conclusion Percutaneous transluminal angioplasty and stenting has fewer perioperative complications in the treatment of vertebral artery stenosis,which can achieve ideal vascular reconstruction effects.

关 键 词：椎动脉狭窄 腔内治疗 临床分析 

分 类 号：R74[医药卫生—神经病学与精神病学]