中国脑血管病杂志2011，Vol.8Issue(1)：8-12,5.DOI:10.3969/j.issn.1672-5921.2011.01.003
支架成形术治疗不同Mori分型椎-基底动脉重度狭窄的研究
Therapeutic effect of stent angioplasty for severe vertebrobasilar artery stenosis of different Mori types
摘要
Abstract
Objective To evaluate the efficacy and early prognosis of stent angioplasty in patients with severe vertebrobasilar artery stenosis of different Mori types.Methods Eighteen patients with severe symptomatic vertebrobasilar artery stenosis were analyzed retrospectively.Stent angioplasty was performed with balloon-expandable stents and serf-expanded stents according to the different Mori types.Stent selection, perioperative complications and early prognosis in patients with severe vertebrobasilar artery stenosis of different Mori types were compared.Results ①Eighteen patients were divided into type A ( n = 8), B (n =4), and C (n =6) according to Mori types.②Ballon-expandable stents were selected in patients of Mori type A and B.One patient of Mori type C selected ballon-expandable stents, and the other five patients selected Wingspan self-expandable stents.The technical success rate of stent angioplasty was 100％.③At 2 and 30 days after operation, TCD reexamination showed that in-stent blood flow was patent,and no restenosis was observed.④ Except one patient of Mori type C had small amount of pontine hemorrhage, the other patients neither had perioperative surgery-related complications, nor had any new neurological symptoms.⑤Among the 17 patients who had dizziness, the symptoms disappeared in 14 patients after the procedures.Among them, 6 were in Mori type A, 3 were in type B, and 5 were in type C.Conclusion For patients with severe vertebrobesilar artery stenosis of Mori type A or B the ballon-expandable stents may be chosen, and for patients of Mori type C the Wingspan self-expandable stents may be chosen.Stent angioplasty in the treatment of severe vertebrobasilar artery stenosis is safe and effective, and its early result is good, however, its long-term efficacy remains to be further observed.关键词
椎底动脉供血不足/血管成形术/支架/手术中并发症/预后引用本文复制引用
王东,缪中荣,焦力群,朱凤水,凌锋,李慎茂..支架成形术治疗不同Mori分型椎-基底动脉重度狭窄的研究[J].中国脑血管病杂志,2011,8(1):8-12,5.基金项目
"十一五"国家科技支撑技术项目(2007BA105B04) （2007BA105B04）
