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312例颅内外动脉支架置入术后再狭窄的危险因素研究

成勇 王延江 严家川 曹红元 周华东

神经损伤与功能重建2012,Vol.7Issue(3):189-192,4.
神经损伤与功能重建2012,Vol.7Issue(3):189-192,4.DOI:10.3870/sjsscj.2012.03.009

312例颅内外动脉支架置入术后再狭窄的危险因素研究

Analysis of Risk Factors of Restenosis after In-and-extracranial Intravascular Stenting in 312 Patients

成勇 1王延江 1严家川 1曹红元 1周华东1

作者信息

  • 1. 第三军医大学第三附属医院神经内科,重庆,400042
  • 折叠

摘要

Abstract

Objective:To investigate the risk factors of restenosis after intravascular stent-ing. Methods: Three hundred and twelve patients successfully underwent intravascular stent implantation with a 1-year follow-up study. The restenosis, control of risk factors and postoperative medication were followed up. Univariate analysis and logistic regression analysis were used to study the risk factors of restenosis. Results:Out of 312 patients, 24 cases (7. 7%) showed restenosis by angiography. The univariate analysis showed that the restenosis group had higher cigarettes, diabetes, multiple-sites stenosis of atery and lower drug use(P<C0. 05). The restenosis rate was much lower in CA than VA, BA and MCA. Logistic regression analysis revealed that there were negative correlations between the location of the stent( carotid) , drug application and restenosis(OR=0. 893, 0. 931) ;and there were postive correlations between cigarettes, multiple -sites stenosis of ateries and restenosis(OR=4. 358,6. 981). In all clinical events, 11 patients had AMI, 3 patients experienced ICH, 8 patients presented CI, and 5 patients diedd. 6%). Conclusion: Cigarettes, multiple-sites stenosis of ateries, location of the stent(carotid)and drug application are independent risk factors for post intravascular stenting restenosis.

关键词

支架/再狭窄/危险因素

Key words

stent/ restenosis/ risk factors

分类

医药卫生

引用本文复制引用

成勇,王延江,严家川,曹红元,周华东..312例颅内外动脉支架置入术后再狭窄的危险因素研究[J].神经损伤与功能重建,2012,7(3):189-192,4.

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