APOLLO支架置入治疗颅内动脉粥样硬化性狭窄52例疗效观察

目的分析APOLLO支架置入治疗颅内动脉粥样硬化性狭窄的疗效。方法回顾性分析包头市中心医院2007年1月至2011年6月经全脑血管造影术检查狭窄程度>60%的颅内动脉狭窄接受APOLLO支架置入治疗的住院患者52例。临床随访采用NIHSS评分。影像学随访主要采用经颅多普勒超声及颈部血管超声。结果 50例患者成功进行了支架置入术,手术成功率为94.55%(52/55)。术中、术后即刻总的血管事件发生率为9.62%(5/52)。术后30 d内总的血管事件发生率为11.76%(6/51)。随访(21.84±13.64)个月,考虑症状性支架内再狭窄2例,再狭窄率为3.92%(2/51)。结论 APOLLO支架置入治疗颅内动脉狭窄,围术期并发症发生率低,中远期随访症状性再狭窄发生率低。

The Study of Deployment of APOLLO Stent in Patients with Symptomatic Intracranial Artery Atherosclerotic Stenosis: Therapeutic Effect of 52 Cases

Objective To analyze the safety and efficacy of intracranial deployment of APOLLO stent in patients with symptomatic intracranial artery stenosis.Methods Retrospective analysis on 52 cases of intracranial arterial stenosis greater than 60%examined by angiography from Baotou Central Hospital during January 2007-June 2011 was done.Clinical follow-up was done by NIHSS scoring.Imaging follow-up was mainly by TCD and ultra-neck.Results Technical success rate of surgery was 94.55%(52/55).Rate of surgical vascular events was 9.62%(5/52).The overall 30-day incidence of vascular events was 11.76%(6/51).During the(21.84±13.64)months follow-up,in-stent restenosis was 2 case,the rate of restenosis was 3.92%(2/51).Conclusion APOLLO stent treatment of intracranial artery stenosis is safe and effective,with low rate of symptomatic restenosis in mid-long term follow-up.