血管内支架成形术治疗症状性弓上颅外动脉狭窄9例

 目的 探讨血管内支架成形术治疗症状性弓上颅外动脉狭窄的临床效果和安全性.方法 应用血管内支架成形术治疗症状性弓上血管狭窄9例.结果 治疗狭窄动脉10支,狭窄程度均明显改善,狭窄程度由原来的(81.4±14.11)%下降至(4.9±3.73)%,无死亡病例,术后患者症状均明显改善,无围术期并发症.随访1～8个月,颈动脉超声检查治疗血管无再狭窄.结论 血管内支架成形术治疗症状性弓上颅外动脉狭窄具有安全性高、临床效果好的特点,但由于例数较少,缺乏长期随访效果,值得进一步随访研究.

Angioplasty and stenting for symptomatic supra-arch extracranial artery stenosis

Objective To study the clinical efficacy and safety of treating symptomatic supra-arch extracranial artery stenosis by angioplasty and stenting. Methods Nine patients with symptomatic supra-arch extracranial artery stenosis were treated. Results Ten lesions were treated. The diameters of stenosed of arteries were excellently enlarged after angioplasty and stenfing, and tile diameter stenosis decreased from（81.4±14.11 ） % to （4.9 ±3.73） %. No death occurred. The symptoms and signs （complaints） were improved excellently after angioplasty and stenting, and no one experienced procedure - related complication, The patients were followed up for one to eight months, no restenosis was found by the cervical artery ultrasonography. Conclusions Angioplasty and stenting is safe and valid treatment for symptomatic supraarch extracranial artery stenosis. But the number of cases was small and the time period of follow - up was not long, so further study and follow - up are need.