支架置入术治疗颈动脉狭窄的临床应用分析

目的：探讨支架置入术治疗颈动脉狭窄的临床疗效。方法：26例表现为反复短暂性脑缺血发作或脑梗死的颈动脉狭窄患者，采用支架置入术，且围手术期给予抗血小板聚集药物等治疗。结果：支架放置均准确，19例颈动脉狭窄管径恢复到正常，5例狭窄程度减少90%，2例减少70%，10例术中使用了保护装置，1例术后出现梗死区出血,其他无术后并发症发生。随访3～12个月，均无再狭窄发生，近期疗效满意。结论：血管内支架置入术治疗颈动脉狭窄是一种安全、有效的方法，近期疗效肯定。

Cervical carotid artery stent placement

Objective: To explore the clinical effects of stent placement for cervical carotid stenosis.Methods: Twenty-six patients with carotid stenosis suffering from repeated transient ischemic attack(TIA) or cerebral infarction were treated with stent placement.All cases were treated with anticoagulants during the peri-operation.Results: Stents were accurately implanted.Stenosis completely disappeared in 19 patients,attenuated by more than 90% in 5 patients and 70% in 2 patients.Cerebral protection devices were used in 10 patients during the operation.No other complications recurred except for cerebral hemorrhages in 1 patient after the operation.No stenosis reoccurred during a follow-up of 312 months.The short-term effect was satisfactory.Conclusion: Stent placement for carotid stenosis is safe and effective and its short-term effect is satisfactory.