血管内支架置入术治疗颈动脉狭窄

目的:探讨颈动脉狭窄应用腔内成形及支架植入术治疗的方法、疗效和安全性。方法:本组颈动脉狭窄28例,均经股动脉穿刺插管,经长鞘或导引导管将导丝或动脉保护伞越过狭窄段至远端正常管径动脉内,之后于狭窄段放置自膨式支架,其中9例应用脑保护装置。狭窄严重者选择球囊预扩7例,后扩2例。结果:本组均成功行颈动脉狭窄腔内支架成形术。本组无脑梗死及脑出血等严重并发症发生。随访观察患者临床症状改善,恢复良好。结论:腔内支架成形术治疗颈动脉狭窄是一种创伤小、安全易行、疗效确切的治疗方法。

Endovascular Stent Placement for the Treatment of Carotidstenosis

Objective To investingate the method,efficacyand safety ofcarotid angioplasty and stenting(CAS).Methods 28 patients with the carotid stenosis,using the seldinger technique,the wire or filter device were across the stenosis to normal artery through the length sheath or guilding catheter,then the self-expandable stent was implanted in the stenosis segment and the cerebral protection device were used in 9 cases.The balloon pre-expand and pro-expand was used in the severity stenosis cases in 7 and 2 respectively.Results CAS was enforced successfully in 28 cases.The adverse effect and severity complication was not been found.Clinical symptom obtan improvement and recovered well during following-up.Conclusion Endovascular stent placement for the treatment of carotidstenosis is safe,easy and effective method.