支架治疗缺血性脑血管病的临床分析

目的 探讨缺血性脑血管病介入治疗的疗效、并发症.方法 对10例适合介入治疗的患者行经皮血管内支架成形术(percutaneous transluminal angioplasty and stenting, PTAS),术后即刻造影评价并随访1-21个月.结果 (1)10例患者的10支血管,均成功完成支架植入,即刻造影显示支架位置良好,支架植入技术成功率100%.即刻造影显示支架置人后6支血管无残余狭窄,4支血管残余狭窄10%-20%,10支血管平均残余狭窄<10%.(2)10例患者中1例发生了缺血性卒中和血压下降;1例发生了心率减慢、血压下降;1例发生了穿刺部位血肿.(3)10例患者术后随访1-21个月,均未出现与所治疗血管相关的神经系统症状和体征.颈部血管超声和TCD未发现治疗血管再狭窄.结论 缺血性脑血管病的介入治疗是治疗缺血性脑血管病的一种新方法,其安全、有效,近期疗效肯定,远期疗效有待长期随访.

Interventional therapy of ischemic cerebrovascular disease

Objective To study the effect and complications of interventional therapy of ischemic cerebrovascular disease.Methods 10 patients with percutaneous transluminal angioplasty and stenting,the therapy effects were evaluated by DSA and followed up for one to twenty one months after operation.Results There were 10 branches of 10 patients were set with stents,the right location were proved by DSA after operation.The success rate was 100%.The results showed that 6 branches had no remained stenosis,4 have 10%-20% remained stenosis.One patient had complications as ischemic cerebrovascular disease and blood pressure decrease,one case had heart rate slower and blood pressure decrease,and one case had haematoma on the place of puncture.All the patients were gotten right after treatment.The results of following-up did not show any abnormal.There were no blood stenosis occurred again by color Doppler in carotid arterial and transcranial Doppler.Conclusion Interventional therapy of ischemic cerebrovascular disease is a new method to cure ischemic cerebrovascular disease;it is a micro-trauma,safe and effective method.Its short-term effect of therapy is affirmed,but its long-term effect should be proved by follow observe for long time.