颈内动脉狭窄血管内支架置入术治疗脑血管病的临床分析

目的:探讨颈内动脉狭窄血管内支架置入术在防治脑血管病中的临床应用。方法:对89例脑梗死、8例脑供血不足和11例短暂性脑缺血发作患者行全脑血管造影术,发现颈内动脉均有不同程度的狭窄,对狭窄段行支架置入术。结果:108例颈内动脉狭窄血管内支架置入术均获得成功,平均狭窄程度从99%降至10%(P<0.01)。术后随访6个月到3年,所有患者均无缺血性事件发生。结论:通过颈内动脉狭窄血管内支架置入术治疗缺血性脑血管病疗效可靠,大大降低了脑血管病的复发率和致残率,值得临床推广应用。

Carotid artery stent implantation for the treatment of cerebrovascular disease

Objective: To investigate the clinical application of internal carotid artery(ICA) stenosis angioplasty and stenting in cerebrovascular disease.Methods: Cerebral angiography was performed on 89 patients with cerebral infarction,8 patients with brain blood supply insufficiency and 11 patients with transient ischemic attack.The stenosis of various degrees in internal carotid artery was detected.Angioplasty and stenting were performed in the stenosis segment of internal carotid artery.Results: Angiography and stenting were successful in all 108 patients.The stenosis degree of mean diameter in internal carotid artery was reduced from 99% to 10%(P<0.01).No cerebral ischemic event occurred in all patients during the 0.5 to 3 years follow-up.Conclusion: The use of internal carotid artery stenosis angioplasty and stenting in the clinical treatment of cerebral ischemic patient is feasible.The recrrenced and disability rate of cerebrovascular disease is greatly reduced.It is worthy of clinical application.