| 经颅多普勒在颅内动脉狭窄支架成形术前后及再狭窄监测中的应用 |
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| 引用本文： | 刘红英,何艳,刘武,邓宇平.经颅多普勒在颅内动脉狭窄支架成形术前后及再狭窄监测中的应用[J].临床医学,2009,29(1):7-9. |
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| 作者姓名： | 刘红英 何艳 刘武 邓宇平 |
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| 作者单位： | 广东省惠州市中心人民医院神经内科,惠州,516001 |
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| 摘 要： | 目的评价经颅多普勒（TCD）在颅内动脉狭窄支架成形术前后及再狭窄监测中的应用。方法85例脑梗死或短暂性脑缺血发作（TIA）患者，经数字减影血管造影（DSA）检查证实为颅内动脉重度狭窄。在支架置入术前、术后3d及术后半年进行TCD检查，检测大脑中动脉（MCA）、颈内动脉终末段（ICA1）、椎动脉（VA）、基底动脉（BA）的血流动力学指标收缩峰流速（Vs）、声频等。结果85例患者术前术后DSA及TCD检查符合率为100％。3例术后半年TCD复查诊断为再狭窄，DSA检查3例患者支架内狭窄〉50％。与术前比较，85例患者术后3d MCA、ICA1、VA及BA的Vs明显下降，P〈0．01，差异有统计学意义；涡流、杂音消失。术后半年TCD复查，与术后3d比较，P值分别为：0．461、0．968、0．974及1．000，差异无统计学意义。结论TCD是理想判定颅内血管内支架成形术后疗效及随访的首选检测方法。
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| 关 键 词： | 经颅多普勒 颅内动脉 动脉狭窄 支架成形术 血管内 |
Evaluating the effect of transcranial Doppler on stent-assisted angioplasty and restenosis of intracarotid artery |
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| LIU Hongying,HE Yan,LIU Wu,DENG Yuping.Evaluating the effect of transcranial Doppler on stent-assisted angioplasty and restenosis of intracarotid artery[J].Clinical Medicine,2009,29(1):7-9. |
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| Authors: | LIU Hongying HE Yan LIU Wu DENG Yuping |
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| Institution: | LIU Hongying,HE Yan,LIU Wu,DENG Yuping.Department of Neurology,Huizhou Municipal Central Hospital,Huizhou 516001,China |
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| Abstract: | Objective To evaluate the effect of transcranial Doppler(TCD) on stent-assisted angioplasty and restenosis of intracarotid artery.Methods Eighty-five patients with cerebral infarction or transient ischemic attack(TIA) were confirmed with severe intracarotid artery stenosis by digital subtraction angiography(DSA).Before stent-assisted angioplasty and after treatment successfully in 3 and 180 days,TCD detected the peaking of systolic velocity(Vs),frequency spectrum and acoustic frequency in middle cerebral ar... |
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| Keywords: | Transcranial Doppler Intracarotid artery Artery stenosis Stent-assisted angioplasty Endovascular |
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