摘要
目的 推动国内颈动脉狭窄经皮腔内血管成形与支架术的广泛应用与开展。方法 对12例颈动脉狭窄患者实施了颈动脉狭窄支架成形术 (CAS)。 12例中有 7例为症状性颈动脉狭窄。 10例病因为动脉粥样硬化 ,2例为大动脉炎。结果 12例颈动脉狭窄 11例放置支架成功 ,2例术中发生轻度脑梗死 ,经治疗 1h内完全恢复。 11例CAS成功者随访 6个月至 4年 6个月 ,均未发现再狭窄 ,临床上未出现脑缺血症状。结论 经皮腔内血管成形术治疗颈动脉狭窄已和外科手术一样 ,渐被广泛接受。术中使用脑保护装置预防脑梗死并发症是今后研究的重点。
Objective To promote the application of angioplasty and stenting technique for the treatment of carotid artery stenosis in China. Methods The angioplasty and stenting were performed in 12 cases with carotid artery stenosis, of which 7 were symptomatic. Of 12 cases, 10 were atherosclerotic and the other 2 were of Takayasu′s disease. Results 11 stents were successfully implanted. Minor stroke occurred in 2 cases during the procedure and both were completely recovered with thrombolytic treatment in less than 1 hour. Follow up of the 11 cases 6 months through 4 and half years, no restenosis and ischemic symptoms were revealed. Conclusion Endovascular stent placement for carotid artery occlusive disease is evolving to an accepted alternative to surgery. The use of cerebral protection during the proceture is needed in the future.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2001年第3期193-196,共4页
Chinese Journal of Radiology
