解放军医学杂志2011，Vol.36Issue(12)：1332-1334,3.
Wingspan支架成形治疗症状性颅内动脉狭窄的安全性分析(附109例报告)
Safety analysis of Wingspan stent angioplasty for symptomatic intracranial arterial stenosis: A report of 109 cases
邓剑平 1高国栋 1张涛 1于嘉 1赵继培 1曲友直 1赵振伟1
作者信息
- 1. 710038 西安 第四军医大学唐都医院神经外科
- 折叠
摘要
Abstract
Objective The present study aims to probe into the feasibility and safety of larger balloons in the self-expandable stent Wingspan system when treating symptomatic intracranial arterial stenosis. Methods The clinical data of 109 symptomatic intracranial arterial stenosis patients, consisting of 68 males and 41 females, were analyzed. These patients were treated via angioplasty using the Wingspan system from March 2007 to June 2010. The ages of the patients ranged from 36 years to 79 years, with an average of 62. 4. The patients were divided into two groups according to the sizes of the Gateway balloons they used. The balloon diameter for group A ( n= 31) was based on 80% of the diameter of the normal blood vessels on both sides of the arterial vessel. Meanwhile, the balloon diameter for group B was based on the average diameter of the vessels on both sides of the arterial vessel. The effects of the treatment and the occurrence of complications in both groups were analyzed and compared. Results The degree of arteriostenosis before operation for group A was 56.0% to 87. 8%, with an average of 71. 8%, residual stenosis after operation was 0% to 45%, with an average of 24. 9%. The degree of ateriostenosis before operation for group B was 68. 9% to 98. 0%, with an average of 76.0%, residual stenosis after operation was 0% to 21%, with an average of 10. 2%. Group A had four cases (12. 9%) of durability neurological dysfunction. One case was a visual-field defect. In group B, six patients (7. 7%) experienced complications. The differences were not statistically significant, and no deaths occurred in both groups. Conclusions Wingspan stent angioplasty is a safe and effective treatment for intracranial arterial stenosis, and even the use of larger balloons does not increase the risk in patients.关键词
颅内动脉疾病/血管成形术,气囊/支架成形术/手术后并发症Key words
intracranial arterial diseases/ angioplasty, balloon/ stems/ postoperative complications分类
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邓剑平,高国栋,张涛,于嘉,赵继培,曲友直,赵振伟..Wingspan支架成形治疗症状性颅内动脉狭窄的安全性分析(附109例报告)[J].解放军医学杂志,2011,36(12):1332-1334,3.
