摘要
目的探讨Wingspan颅内动脉支架系统治疗症状性颅内动脉狭窄的有效性、安全性及手术并发症的防治。方法应用Wingspan颅内动脉支架系统治疗符合介入治疗标准的11例颅内动脉狭窄的患者,于颈内动脉颅内段、大脑中动脉M1段、椎动脉颅内段及基底动脉狭窄处共置入12枚Wingspan支架,观察手术前后患者临床症状、狭窄率及并发症发生情况,评估手术安全性,术后平均随访12个月。结果 10例患者支架置入顺利,一次性成功,支架定位准确;1例术中出现支架前移,未覆盖斑块,再置入Wingspan支架1枚。术后1例出现TIA发作,其余病例未出现相应供血区域新发缺血事件,无颅内出血并发症。随访12个月,发现2例出现再狭窄,狭窄率>50%。结论 Wingspan颅内动脉支架系统治疗颅内动脉狭窄安全、有效,中短期并发症低。
Objective To explore the efficacy ,safety and the prevention of perioperative complication of the Wingspan stent system in the treatment of Chinese patients with symptomatic intracranial arterial stenosis.Methods Eleven patients with symptomatic intracranial arterial stenosis were treated with the Wingspan stent system.Twelve Wingspan stents were put in the internal carotid artery ,middle cerebral arteries ,intracranial segmental vertebral artery and basilar artery of patients.The clini-calsymptoms , stenosis rate , intracranial hemodynamics , and complication were observed before and after the operation.Moreover , operation safety was assessed.Physician-reported follow-up in all 11 patients lasted about 12 months.Results Ten stents were successfully placed in the 10 patients and were accurately positioned at first time.In one case , the stent did not cover the plaque due to moving forward ,so a Wingspan stent was placed again.In follow-up ,one patient had an episode of transient ischemic attack （TIA） ,but no other patients who had new ischemic attack and intracranial hemorrhage were found.After follow-up of 12 months ,two patients had intracranial arterial stenosis again ,and stenosis degree was above 50%.Conclusion It is safe and efficient to treat intracranial artery stenosis by placing Wingspan stent system ;moreover ,little perioperative complication was observed in short and middle term .
出处
《中国实用神经疾病杂志》
2014年第12期14-16,共3页
Chinese Journal of Practical Nervous Diseases
