血管内支架置入术治疗颈动脉狭窄26例临床分析

目的探讨血管内支架治疗颈动脉狭窄的疗效及安全性。方法使用颈动脉支架治疗症状性颈动脉狭窄26例（狭窄≥50％，NASCET法测定），所有患者在围手术期进行抗血小板治疗，并行全脑血管造影及颈部血管超声检查。结果26例手术操作完全成功，术后残余狭窄〈20％，有一例出现术中癫痫发作，7例出现术后心率减慢，血压下降，有2例出现高灌注综合症。均经治疗后恢复，无一例出现脑梗塞、TIA，术后随访6～12个月。颈部血管超声显示无再狭窄发生。结论颈动脉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，短期疗效肯定。

The Clinic analysis of endovascular stenting for carotid stenosis

Objective Discuss the effect and security of endovascular stent placement for the treatment of carotid stenosis.Methods The stent of carotid artery was used to dealing with symptomatic carotid stenosis.26 patients were tested by NASCET with more than 50% narrowing.Around the stage of surgery,the patients were treated with anti-platelet and checked wtih ultrasound.The patients were followed-up for 6 to 12 months.Results The surgery of 26 patients was successful.The narrow after surgery was less than 20%.Ther...