血流动力学平衡的颈内动脉及椎-基底动脉的介入治疗

目的 探讨出现血流动力学平衡现象的颈内动脉及椎-基底动脉狭窄患者的介入治疗方案.方法 患者52例,其中行颈内动脉支架成形术介入治疗27例,未处理6例,行颈内动脉栓塞术1例;行椎动脉及基底动脉支架成形术介入治疗16例,行椎动脉栓塞术2例.结果 一次性成功植入支架43例,栓塞病变血管3例,未行介入处理6例;颈动脉支架术后闭塞3例.结论 对于病变血管发生血液动力学平衡的患者应行个体化治疗.

Interventional treatment of haemodynamic balance phenomenon appearing in internal carotid artery and vertebral- basilar artery stenosis

Objective To explore the interventional treatment of haemodynamic balance phenomenon appearing in internal carotid artery and vertebral-basilar artery stenosis.Methods There were 52 cases of patients,27 cases of them were treated for internal carotid artery stent-plasty intervention,6 cases were untreated,only one internal carotid artery was embolismed.16 cases of vertebral artery and basilar artery were treated for vertebral artery stent-plasty intervention,2 cases had treatment of internal artery embolization.Results There were 43 cases in one-time successful stent placement,3 cases of embolization of vascular lesions.6 patients received no intervention,carotid artery stent occlusion in 3 cases.Conclusion The patients who have had the pathological vascular hemodynamics balance phenomenon should get individual treatment.