| 血管支架成形术治疗症状性大脑中动脉狭窄 |
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| 引用本文： | 吕惠生,牛惠敏,晁苑翔,李晓宁,吴顶峰,张晨红,杨杰,张亮.血管支架成形术治疗症状性大脑中动脉狭窄[J].介入放射学杂志,2010,19(3):227-230. |
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| 作者姓名： | 吕惠生 牛惠敏 晁苑翔 李晓宁 吴顶峰 张晨红 杨杰 张亮 |
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| 作者单位： | 咸阳陕西省核工业215医院,陕西,712000 |
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| 摘 要： | 目的研究血管内支架成形术治疗症状性大脑中动脉狭窄的疗效及安全性。方法对27例症状性大脑中动脉狭窄患者行血管腔内成形术。结果27例患者中,24例成功置入冠脉支架,术后即刻造影显示狭窄程度为(8±4)%,较术前(80±19)%改善明显。2例因支架置入困难改行经皮血管腔内成形术(PTA)。平均随访18个月。25例患者术后短暂性脑缺血发作均未发生。无责任血管区新发脑梗死。1例支架置入后3h发生再灌注性脑出血。1例支架脱落后于颈内动脉虹吸部,后用抓捕器取出。1例支架置入术后6个月发生再狭窄。结论经皮血管内支架成形术是治疗症状性大脑中动脉狭窄的一种较安全有效的方法。长期疗效有待于进一步观察。
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| 关 键 词： | 脑 大脑中动脉狭窄 支架 血管成形术 |
Stent angioplasty for the treatment of symptomatic stenosis of middle cerebral artery |
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| L Hui-sheng,NIU Hui-ming,CHAO Yuan-xiang,LI Xiao-ning,WU Ding-feng,ZHANG Chen-hong,YANG Jie,ZHANG Liang.Stent angioplasty for the treatment of symptomatic stenosis of middle cerebral artery[J].Journal of Interventional Radiology,2010,19(3):227-230. |
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| Authors: | L Hui-sheng NIU Hui-ming CHAO Yuan-xiang LI Xiao-ning WU Ding-feng ZHANG Chen-hong YANG Jie ZHANG Liang |
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| Institution: | L(U) Hui-sheng,NIU Hui-ming,CHAO Yuan-xiang,LI Xiao-ning,WU Ding-feng,ZHANG Chen-hong,YANG Jie,ZHANG Liang |
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| Abstract: | Objective To investigate the safety and feasibility of endovascular stent angioplasty in treating symptomatic stenosis of middle cerebral artery.Methods Endovascular angioplasty with coronary stents was performed in 27 patients with symptomatic stenosis of middle cerebral artery.The clinical results were reviewed and analyzed.Results Of the total 27 patients,successful placement of the coronary stents was achieved in 24.Angiography immediately after the procedure showed that the stenotic degree of the disea... |
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| Keywords: | brain stenosis of middle cerebral artery stent angioplasty |
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