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血管内支架治疗颈动脉及椎动脉狭窄的20例临床分析
引用本文:陈万海,朱晓黎,刘一之,倪才方,李波.血管内支架治疗颈动脉及椎动脉狭窄的20例临床分析[J].临床放射学杂志,2011,30(11).
作者姓名:陈万海  朱晓黎  刘一之  倪才方  李波
作者单位:苏州大学附属第一医院介入科,江苏苏州,215006
摘    要:目的探讨血管内支架治疗颈动脉及椎动脉狭窄的安全性及有效性。资料与方法对20例颈、椎动脉狭窄行颈动脉球囊扩张及支架成形术(CAS)治疗的患者作回顾性分析,对临床表现、治疗方法及治疗前后的影像资料改变进行分析。结果 20例患者行CAS治疗,共成功放置支架22枚,11例采用颈动脉保护装置。术前干预血管平均狭窄度(76.2±11.4)%,术后支架膨胀不满意采用球囊后扩者3例。术后造影显示15例残余狭窄度<10%,4例<20%,仅1例<38%,术后平均狭窄度(12.4±8.2)%。治疗前后狭窄度比较有显著统计学意义(P<0.001)。随访平均(12.3±5.6)个月,7例支架术后6个月发现支架有不同程度再狭窄,但再狭窄率均未超过30%,均无神经系统症状。结论血管内支架治疗颈动脉及椎动脉狭窄是安全和有效的,近期随访无严重再狭窄(>50%)及颅内严重并发症发生。

关 键 词:血管内支架  颈动脉狭窄  椎动脉狭窄  

Clinical Analysis of Endovascular Stent Placement in 20 Patients with Carotid Artery Stenosis and Vertebral Artery Stenosis
CHEN Wanhai,ZHU Xiaoli,LIU Yizhi,et al..Clinical Analysis of Endovascular Stent Placement in 20 Patients with Carotid Artery Stenosis and Vertebral Artery Stenosis[J].Journal of Clinical Radiology,2011,30(11).
Authors:CHEN Wanhai  ZHU Xiaoli  LIU Yizhi  
Institution:CHEN Wanhai,ZHU Xiaoli,LIU Yizhi,et al.Department of Interventional Radiology,First Affiliated Hospital of Suzhou University,Suzhou,Jiangsu Province 215006,P.R.China
Abstract:Objective To discuss the safety and effectiveness in treatment of severe carotid artery and vertebral artery stenosis with percutaneous transluminal stenting technique.Materials and Methods Retrospectively study were performed in 20 patients who had received CAS for severe carotid artery stenosis and vertebral artery stenosis.Clinical characteristics and treatment methods were analyzed,angiogram features were compared between the pre procedure and post procedure.Results 20 patients received carotid angiopla...
Keywords:Carotid artery stent Carotid artery stenosis Vertebral artery stenosis  
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