摘要
目的 探讨血管内支架治疗头臂动脉阻塞性疾患中并发症的预防和治疗。材料与方法 8例接受血管内支架成形术治疗的头臂动脉阻塞性疾病患者分为颈动脉和锁骨下动脉两组 ,对在治疗过程中所出现的并发症及其治疗处理进行回顾性比较分析。结果 在颈动脉组 4例中 ,有 3例出现并发症 ,其中 2例出现一过性意识丧失 ,利用自身血液回灌技术预防了再发生。 2例出现一侧肢体麻木 ,感觉障碍 ,应用 3 0～ 5 0万U尿激酶后缓解。 2例术后严重头痛 ,经药物降低血压、颅压后缓解。在 4例锁骨下动脉组中 ,仅 1例因导丝穿破血管而放弃治疗。在 1～ 2 4个月的随访中 ,颈动脉组中有 1例 9个月后闭塞。结论 颈动脉血管内支架成形术的并发症明显高于锁骨下动脉。因此 ,在血管内支架治疗头臂动脉阻塞性疾病时 ,要注意对颈动脉并发症的防治。
Objective To investigate the prevention and cure of complications during stent placement procedures for occlusive diseases of brachiocephalic arteries.Materials and Methods PTAS was performed in 8 patients with occlusive diseases of brachiocephalic arteries, who were divided into carotid group and subclavian group. The complications during PTAS procedures and the management of them in each group were retrospectively compared and analyzed.Results Of 4 patients in carotid group, 2 occurred TIA, which was successfully prevented from relapse by treating with auto blood perfusion back technique; 2 developed unilateral limb numbness and sensory disturbance, which were relieved by administering 300,000～500,000U urokinase; 2 complained severe headache, which was remitted by lowering the blood and intracranial pressure with medicine. In one case of subclavian group, the PTAS had to be stopped halfway in the procedure, because the vessel was perforated by the guidewire. The vessel was occluded in one case of carotid group after 9 months.Conclusion Carotid PTAS carries higher incidence of complications than subclavian PTAS does. Therefore, great attention should be paid to the prevention of the carotid PTAS.
出处
《临床放射学杂志》
CSCD
北大核心
2000年第4期197-200,共4页
Journal of Clinical Radiology
关键词
头臂动脉狭窄
并发症
介入放射学
血管内支架
Brachiocephalic artery stenosis Complication Interventional Radiology Intravascular stent
