脑保护装置在颈部动脉狭窄扩张和支架置入术中的初步应用  

Initial application of brain protection device in dilatation and stenting of carotid and vertebral artery stenosis

作　　者：王大明[1] 盛爱珍[2] 龚涛[2] 杨重庆[3] 翟乐乐[1] 王作伟[1] 刘银红[2] 刘芳[2] 韩京芬[4] 王玉林[4] 孙静[4] 李金[2] 刘树山[1] 

机构地区：[1]卫生部北京医院神经外科,100730 [2]卫生部北京医院神经内科,100730 [3]卫生部北京医院病理科,100730 [4]卫生部北京医院放射科,100730

出　　处：《中华外科杂志》2002年第12期893-895,I002,共4页Chinese Journal of Surgery

基　　金：首都医学发展科研基金资助项目 (ZD19980 2 ) ;卫生部临床学科重点项目 (卫规财发 [2 0 0 1] 32 1号 )

摘　　要：目的　报告脑保护装置在颈动脉和椎动脉粥样硬化性狭窄血管内扩张和支架置入术中的初步应用结果。　方法　应用脑保护装置filterwire(滤网导丝 ) ,或angioguard(血管保护伞 ) ,对 18例2 1处颈动脉和椎动脉粥样硬化性狭窄行血管内扩张和 (或 )支架置入术 ,并总结其临床使用结果。结果　应用脑保护装置成功施行 2 1例次颈动脉和椎动脉狭窄血管内扩张和 (或 )支架置入术 ,介入操作方便易行 ,无术中和术后并发症发生。　结论　脑保护装置有助于降低颈动脉和椎动脉狭窄血管内扩张和支架置入术中动脉粥样斑块或附壁血栓脱落性脑梗死的发生 ,提高其治疗安全性。Objective To report the initial application of brain protection device in the dilatation and stenting of atherosclerotic stenosis of the carotid and vertebral artery. Methods Eighteen patients with 21 atherosclerotic stenoses of the carotid or vertebral artery underwent dilatation and/or stenting with brain protection device (filterwire or angioguard). The clinical results were summarized and the indispensability and feasibility of the device was discussed. Results With the aid of brain protection device, endovascular dilatation and (or) stenting were performed in all the patients with 21 stenoses of the carotid or vertebral artery. The interventional manipulation was successful and no complications occurred. Conclusions Brain protection device is helpful to decrease the embolic complication caused by atherosclerotic plaque and thromboembolus and to increase the security of interventional therapy, during the dilatation and/or stenting of stenosis of the carotid or vertebral artery.

关 键 词：支架置入术 颈动脉狭窄 椎底动脉供血不足 气囊血管成形术 脑保护装置 

分 类 号：R543.4[医药卫生—心血管疾病]