颈动脉支架术后过度灌注综合征的处理

目的探讨颈动脉支架植入术后过度灌注综合征的特点及正确处理方法。方法回顾分析62例颈内动脉支架植入后6例出现过度灌注综合征的临床资料,主要治疗方法包括适度控制血压、减轻脑水肿、预防性应用抗癫痫药物、监护脑血流、镇静机械通气、停用抗凝及抗血小板药物以及伴发脑出血时开颅手术等综合措施。结果 6例患者中,4例完全恢复,1例部分恢复,遗留偏瘫失语出院,1例死亡。结论过度灌注综合征的治疗重点是控制血压、保证适度的脑血流。

Treatment of hyperperfusion syndrome following carotid artery stenting

Objective To explore the etiology,prevention and treatment of hyperperfusion syndrome （HPS） following carotid artery stenting （CAS）. Methods The clinical data of 6 patients with HPS in 62 patients performed CAS were analyzed retrospectively that treated with blood pressure control, decreasing ICP, prevention of epilepsy, TCD monitor, mechanical ventilation, and craniotomy hematoma removal. Results Of 6 patients were given the therapy,4 achieved full recovery,1 partially recoverd leave over hemiplegia and aphasia, 1 death. Conclusions The treatment of HlX3 should focused on controlling blood pressure and providing appropriate perfusion.