摘要
目的评估血管内支架（CAS）治疗症状性颈动脉狭窄的临床价值和安全性。方法回顾性分析125例行CAS治疗的症状性颈动脉狭窄患者的临床资料。结果125例颈动脉狭窄均成功进行了CAS,颈动脉支架植入成功率为100%,其中100例（80%）采用脑保护装置;多发性狭窄40例（32%）,伴发颅内动脉瘤3例（2.4%）;术后30天内死亡2例（1.6%）,短暂性脑缺血发作（TIA）及小中风6例（4.8%）;100例随访6～52个月（平均22个月）,无TIA及中风发生;DSA发现3例（3.0%）再狭窄。结论颈内动脉狭窄的CAS治疗是安全的,操作规范能减少并发症,中远期随访效果较为满意。
Objectives To evaluate the clinical value and safety of carotid artery stenting （CAS） for symptomatic carotid stenosis. Methods 125 cases of symptomatic carotid stenosis admitted from 2001 were analyzed retrospectively. Resutls CAS were successfully applied in all 125 cases,the success CAS implant rate is 100%, 100 cases {80% ） underwent cerebral protection technique. DSA shows 40 cases （32%） of multiple stenosis,3 cases （ 2.4 % ） of intracranial aneurysm. 2 cases （ 1.6% ） were died,TIA and minor stroke were presented in 6 cases {4. 8% ） within 30 days postoperatively. Folow-up for 6 -52 months （ mean,22 months） in 100 cases found no TIA and cerebral apoplexy. Restenosis was found in 3 cases （3. 0% ） by DSA. Conclusions CAS for carotid stenosis has been proved to be safe, with proper manipulation it can reduce complications. Long term follow-up reveals a favorable outcome
出处
《实用医院临床杂志》
2009年第4期12-14,共3页
Practical Journal of Clinical Medicine
关键词
颈动脉狭窄
支架
血管成形术
疗效
Carotid stenosis
Stent
Angioplasty
Treatment effect
