动脉支架成形术治疗颈动脉粥样硬化性狭窄

目的：分析颈动脉支架成行术治疗颈动脉粥样硬化性狭窄的效果。方法：15例症状性颈动脉狭窄患者，在血栓保护伞保护下，置入颈动脉支架，并以球囊扩张狭窄部位。结果：所有患者成功置入支架，术后出现同侧脑梗塞1例，穿刺点皮下血肿3例，颈动脉夹层1例，血管痉挛2例，分别通过手术或药物治愈。随访3～15月，TIA减少3例，对侧脑梗塞1例，其余患者TIA消失，语言及肢体活动改善。结论：血管内支架成行术治疗颈内动脉粥样硬化性狭窄．配合血栓保护伞使用，操作安全．效果明显，值得临床应用。

Carotid Artery Stenting for Carotid Atherosclerotic Stenosis

Objective To analyze the effect of carotid artery stenting in treatment of carotid atherosclerotic stenosis. Methods Angioguard was placed distal to the stenosis and deployed before angioplasty and stent placement in 15 cases, then inflate the balloon in order to normalize the stenosis lumen. Results The stenting procedures were technically successful in all patients. There were some procedure-relate complications: One patient had ipsilateral infarction, three had the dreased TIA, one had a carotid dissection and the rest TIA disoppeared. All the patients were recovered well. Conclusion Carotid artery angioplasty and stenting is safe and feasible in treatment of carotid stenosis.