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支架植入成形术治疗椎动脉开口狭窄
引用本文:孙军,陈茂华,陆川,陈献东,蔡建勇,巴华君,林建虎,林震旦,肖达荣,何学雄. 支架植入成形术治疗椎动脉开口狭窄[J]. 浙江医学, 2010, 32(12): 1785-1786,1792
作者姓名:孙军  陈茂华  陆川  陈献东  蔡建勇  巴华君  林建虎  林震旦  肖达荣  何学雄
作者单位:温州市第二人民医院神经外科脑血管病介入诊治中心,325000
基金项目:温州市科技发展计划项目
摘    要:目的 研究支架成形术治疗症状性椎动脉开口狭窄的效果及安全性.方法 对35例症状性椎动脉开口狭窄患者行血管腔内支架成形术治疗.34例患者成功植入球囊扩张支架,1例未能成功,无一例发生严重并发症.结果 术后见椎动脉开口狭窄程度明显改善.所有患者均作临床随访,症状改善,9例患者获得脑血管造影随访,其中1例出现约50%的再狭窄.结论 支架成形术是治疗症状性椎动脉开口狭窄安全、有效的方法,其长期的效果还需要进一步随访研究.

关 键 词:椎动脉  狭窄  支架  成形术

Endovascular stenting in treatment of symptomatic vertebral origin stenosis
Affiliation:SUN Jun, CHEN Maohua, LU Chuan, et al. Department of Neurosurgery, Wenzhou Second People's Hospital, Wenzhou 325000,China
Abstract:Objective To evaluate the safety and efficacy of transluminal stenting in treatment of symptomatic vertebral origin stenosis. Methods Balloon-expandable stent was trasluminally implanted in 35 patients with symptomatic vertebral origin stensis. Results Among 35 cases stenting were technically successful in 34 cases, 1 case failed. All patients were followed up; after stenting the degree of stenosis was significantly decreased and clinical symptoms were improved. Angiography was performed in 9 cases, restenosis developed in 1 case, with the degree of stenosis of about 50%. Conclusion Endovascular stenting for symptomatic vertebral origin stenosis is safe and effective, however, the long-term outcome need to be further studied.
Keywords:Vertebral artery Stenosis Stent Angioplasty
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