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支架成形术治疗椎动脉颅内段和基底动脉狭窄17例临床观察
引用本文:刘立新,朱凤水,李慎茂,缪中荣,焦力群,凌锋. 支架成形术治疗椎动脉颅内段和基底动脉狭窄17例临床观察[J]. 脑与神经疾病杂志, 2010, 18(1): 30-32
作者姓名:刘立新  朱凤水  李慎茂  缪中荣  焦力群  凌锋
作者单位:1. 石家庄市第三医院神经内科,河北,050011
2. 首都医科大学宣武医院神经放射诊断治疗中心
摘    要:目的评估症状性椎动脉颅内段、基底动脉狭窄患者经皮血管内支架成形术(PTAS)治疗的安全性和有效性。方法17例症状性椎动脉颅内段及基底动脉狭窄患者,狭窄程度在50%以上且规范的内科药物治疗无效,给予PTAS治疗,术后常规给予抗凝、抗血小板聚集、降脂药物。结果17例患者20处狭窄行PTAS,所有的病例手术均取得成功,没有严重并发症,术后即刻造影残存狭窄平均在10%以下,病人平均随访6.8个月(3~10个月),有1例患者出现再狭窄(狭窄程度>50%),所有患者均无缺血症状发作。结论PTAS治疗椎动脉颅内段及基底动脉狭窄是安全和有效的。

关 键 词:支架  椎动脉颅内段  基底动脉  狭窄

Stenting for intracranial vertebral artery and basilar artery stenosis
LIU Li-xin,ZHU Feng-shui,LI Shen-mao,MIAO Zhong-rong,JIAO Li-qun,LING Feng. Stenting for intracranial vertebral artery and basilar artery stenosis[J]. Journal of Brain and Nervous Diseases, 2010, 18(1): 30-32
Authors:LIU Li-xin  ZHU Feng-shui  LI Shen-mao  MIAO Zhong-rong  JIAO Li-qun  LING Feng
Affiliation:LIU Li-xin,ZHU Feng-shui,LI Shen-mao,MIAO Zhong-rong,JIAO Li-qun,LING Feng. Department of Neurology,Shijiazhuang Third Hospital,Hebei 050011,China
Abstract:Objective To evaluate the safety and efficacy in the treatment of symptomatic intracranial vertebral artery and basilar artery stenosis. Methods Seventeen patients core suffered with symptomatic intracranial vertebral and basilar artery stenosis, the stenosis was more than 50% and had failed in regalar medical therapy. All of the lesion were treated with PTAS, we regalarly gave continual anticoagulation and anti-platelet after PTAS. Results Seventeen patients with twenty lesions were treated with stent-assi...
Keywords:Stent  Intracranial vertebral artery  Basilar artery  Stenosis  
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