介入治疗右侧锁骨下动脉盗血综合征

目的探讨介入治疗右侧锁骨下动脉盗血综合征的特点和疗效。方法回顾分析11例右侧锁骨下动脉盗血综合征患者行血管内介入治疗的临床资料。结果 11例右侧锁骨下动脉盗血综合征患者成功置入支架,术后锁骨下动脉残余狭窄小于20%,盗血现象消失,椎-基底动脉供血不足症状消失。随访1年未发现再狭窄。结论重视右锁骨下动脉狭窄和闭塞的特殊性和复杂性,仔细了解右侧锁骨下动脉结构特点,做好手术预案是取得介入治疗成功的必要条件。

The Interventional Therapy of Right Subclavian Artery Steal Blood Syndrome

Objective To investigate the characteristics and efficacy of interventional therapy of right subclavian artery steal syn-drome. Methods The clinical data of 11 cases of right subclavian artery steal blood syndrome treated with intravascular interventional therapy were analyzed retrospectively. Results The stents were successfully placed in subclavian artery of right subclavian artery steal blood syndrome patients. The residual stenosis was less than 20% and the symptoms of steal blood phenomenon and vertebral basilar artery blood supply deficiency disappeared after operation. Conclusions Gaining attention to the particularity and complexity of the right subclavian artery stenosis and occlusion ,the characteristic of right subclavian artery structure and making a complete operation plan is necessary for the success of interventional therapy.