南方医科大学学报2006，Vol.26Issue(1)：6-10,5.
颈动脉支架的安全性和有效性
Safety and efficacy of carotid artery stenting
王挹青 1何世华 2王焱 1郑剑涛 1江宏飞 1陈炳煌1
作者信息
- 1. 厦门大学附属中山医院心脏中心,福建医科大学教学医院,福建,厦门,361004
- 2. 香港大学玛丽医院,香港,852
- 折叠
摘要
Abstract
Objective To evaluate the safety and efficacy of carotid artery stenting (CAS). Methods We prospectively evaluated the safety and efficacy of 76 carotid artery stenting (CAS) procedures in a consecutive series of 70 Chinese patients. This series represented a high-risk group that included patients with unstable angina, previous ipsilateral CEA, contralateral carotid artery occlusion, post-radiation carotid artery stenosis and other severe co-morbid conditions. The patients had independent neurological examinations before and after the procedure and follow-up cerebral angiography at 6 month. Results The procedural success rate was 100%. The mean carotid artery stenosis was (82± 18)% before and (5± 10)% after the procedure. During the initial hospital period and 30 days after CAS, there was no major stroke but 3 minor strokes (5.7%). No myocardial infarctions or deaths occurred during or within 30 days following CAS. At a mean follow-up of 20±12 months, 2 patients (2.8%) had asymptomatic restenosis, and 2 non-Q wave myocardial infarction. Death occurred in 2 cases, but none of them was attributed to a neurological cause. Three patients had minor strokes and no major strokes occurred during the follow-up period.Conclusion Percutaneous carotid artery stenting is feasible for performance in Chinese patients and may lower the restenosis rate.关键词
颈动脉支架/安全性/有效性Key words
carotid artery/stenting/safety分类
医药卫生引用本文复制引用
王挹青,何世华,王焱,郑剑涛,江宏飞,陈炳煌..颈动脉支架的安全性和有效性[J].南方医科大学学报,2006,26(1):6-10,5.
