颈动脉支架置入术治疗颈动脉狭窄的相关并发症观察

目的观察颈动脉支架置入术（CAS）治疗颈动脉狭窄的相关并发症。方法选择广西医科大学第一附属医院2005年1月～2011年12月收治的颈动脉狭窄患者38例，均行CAS治疗；分析CAS的相关并发症。结果手术成功率为100％，术后残余狭窄率〈10％；术中发生高灌注综合征5例，颈动脉窦综合征2例，血管痉挛2例，栓子脱落1例，经积极治疗均好转。2例患者术后1年随访发现轻度再狭窄。结论掌握并发症的发病原因及临床表现并予以正确的处理，可预防和降低并发症的发生。

Analysis of carotid artery stenting related complications in patients with carotid stenosis

Objective To analyze the complications associated with carotid artery stenting （CAS） in patients with carotid stenosis. Methods 38 patients with carotid stenosis in the First Affiliated Hospital of Guangxi Medical University from January 2005 to December 2011 were selected, all the patients were treated with CAS; CAS related complications were analyzed. A retrospectively analysis was conducted of complications related to carotid artery stenting that were applied to 38 patients with carotid stenosis. Results The success rate of the procedure was 100%. The rate of residual stenosis was 〈10%. During the operation, 5 patients were found with high perfusion syndrome, 2 patients were found with carotid sinus syndrome, 2 patients were found with vasospasm, 1 patient was found with mild embolism, all of them were found improved after active treatment. 2 patients were found restenosis in 1-year follow-up. Conclusion An intensive perioperative care can effectively reduce the incidence rate and hazard of stenting related complications.