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支架血管成形术治疗颅外颈动脉极重度狭窄
引用本文:邓剑平,高国栋,于嘉,张涛,李江,赵振伟. 支架血管成形术治疗颅外颈动脉极重度狭窄[J]. 中国临床神经外科杂志, 2011, 16(12): 720-722. DOI: 10.3969/j.issn.1009-153X.2011.12.006
作者姓名:邓剑平  高国栋  于嘉  张涛  李江  赵振伟
作者单位:第四军医大学唐都医院神经外科,西安,710038
摘    要:目的探讨应用支架血管成形术治疗颅外颈动脉极重度狭窄的效果和安全性。方法回顾性分析2002年10月至2009年10月应用支架血管成形术治疗颅外颈动脉极重度狭窄的28例患者的临床资料。结果 28例患者全部成功接受支架血管成形术,狭窄程度由术前90%~99%,降至术后0%~20%。术后无缺血性并发症发生;3例患者术后6h内发生再灌注出血死亡。死亡率10.7%。术后随访1~71个月,均无缺血性症状发生。结论应用支架血管成形术治疗颅外颈动脉极重度狭窄可以有效预防缺血性事件的发生,但是出现再灌注出血的几率较高,应该探求更有效的办法预防再灌注出血。

关 键 词:颅外颈动脉  狭窄  支架血管成形术  疗效

Stent angioplasty for very serious stenosis of extracranial internal carotid artery (report of 28 cases)
DENG Jian-ping,GAO Guo-dong,YU Jia,ZHANG Tao,LI Jiang,ZHAO Zhen-wei. Stent angioplasty for very serious stenosis of extracranial internal carotid artery (report of 28 cases)[J]. Chinese Journal of Clinical Neurosurgery, 2011, 16(12): 720-722. DOI: 10.3969/j.issn.1009-153X.2011.12.006
Authors:DENG Jian-ping  GAO Guo-dong  YU Jia  ZHANG Tao  LI Jiang  ZHAO Zhen-wei
Affiliation:DENG Jian-ping,GAO Guo-dong,YU Jia,ZHANG Tao,LI Jiang,ZHAO Zhen-wei.Department of Neurosurgery,Tangdu Hospital,The Fourth Military Medical University,Xi'an 710038,China
Abstract:Objective To enhance the safety of carotid artery stenting and its effect on very serious stenosis of extracranial internal carotid artery.Methods The clinical data of 28 patients with very serious stenosis of the extracranial internal carotid artery treated by carotid artery stenting from October,2002 to October,2009 were analyzed retrospectively,including the clinical characteristics,clinical manifestation during the perioperation period,complications related to treatment and follow-up after the stenting....
Keywords:Extracranial carotid artery  Stenosis  Stent angiography  Curative effect  
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