中国脑血管病杂志2011，Vol.8Issue(12)：645-648,656,5.DOI:10.3969/j.issn.1672-5921.2011.12.007
颈内动脉肌纤维发育不良患者的DSA诊断和治疗
DSA diagnosis and therapy for fibromuscular dysplasia of the internal carotid artery
摘要
Abstract
Objective To retrospectively analyze the clinical data of 6 patients with fibromuscular dysplasia (FMD) of the carotid artery treated in the Department of Neurology, Nanjing General Hospital of Nanjing Military Command. Methods Six patients with FMD of the carotid artery were retrieved from the Nanjing Stroke Registry Program. The data of these patients such as clinical manifestations, laboratory tests, imaging examinations, treatment and follow-up results were collected. Among the FMD patients,1 complicated with internal carotid occlusion, 1 complicated with middle cerebral artery occlusion, and2 complicated with dissecting aneurysm. Three patients were treated with anti-platelet aggregation therapy, one patient had not been treated because of complicating with moyamoya disease, and 2 patients were trea-ted with carotid artery stenting. Results ①A11 the 6 patients with FMD were diagnosed with digital sub-traction angiography (DSA) , and they all had irregular internal carotid walls and bead-like changes. Four patients showed bilateral FMD and 2 showed left FMD.②After appropriate treatment, the 6 patients did not have any new symptoms, and their previous symptoms were relieved. Two patients performed internal carotid artery stenting and there was no residual stenosis after procedure. ③The symptoms of the 6 patients were ameliorated than before after procedure, and no vascular events occurred during the 3-month follow-up. The patients who performed stenting were examined with DSA after 6 months. The shape of the stents was good and no restenosis was found. Conclusion FMD may complicate with internal carotid occlusion or dissecting aneurysm. At present, percutaneous transluminal angioplasty may be one of the safe and effec-tive treatment of this disease.关键词
颈动脉疾病/肌纤维发育不良/血管成形术Key words
Carotid artery disease/Fibromuscular dysplasia/Angioplasty引用本文复制引用
樊小兵,徐格林,李达文..颈内动脉肌纤维发育不良患者的DSA诊断和治疗[J].中国脑血管病杂志,2011,8(12):645-648,656,5.基金项目
国家自然科学基金资助项目(30870848) （30870848）
