疑难病杂志2012，Vol.11Issue(7)：505-508,4.DOI:10.3969/j.issn.1671-6450.2012.07.05
Wingspan支架治疗症状性颅内动脉狭窄的临床疗效
Therapeutic effect of Wingspan stents on the symptomatic intracranial artery stenosis
殷志锋 1翟宝进 2焦德让 3薛德友 3李巍3
作者信息
- 1. 河北省迁安市人民医院神经外科
- 2. 广东医学院附属南山医院神经外科
- 3. 300000,天津,武警医学院附属医院脑系科
- 折叠
摘要
Abstract
Objective To investigate the therapeutic effect and safety of the Wingspan stent in treatment of sympto-matic intracranial arterial stenosis. Methods Treatment with Wingspan stents was attempted in 90 cases ( 92 lesions, 93 stents) with symptomatic intracranial artery stenosis. The technical success rate, clinical outcome, stenosis improvement and major complications were observed. Conventional cerebral angiography or CTA was performed after stenting to evaluate the incidence of restenosis. Results The technical success rate was 98. 9% ( 92/93 ). The average degree of stenosis before stenting precedure was ( 83. 4 ± 9. 5 )% , the residual stenosis degree after stenting was (21.8 ±9.8 )% . The total complication in peri-operative was 6.5% ( 6/90 ), and the mortality was 3. 3% ( 3/90 ). The average clinical follow up time was ( 16. 7 ± 10. 3 ) months ( ranged between 1-40 months ) . The frequency of stroke within 30 days or ipsilateral ischemic stroke between 31 days and 12 months was 11. 1%( 10/90 ) during a mean follow-up time. Cerebral angiography check-up was conducted in 30 cases. The frequency of restenosis was 16. 7% ( 3/18 ) at 6 months, and the frequency of total restenosis was 16. 7% ( 3/ 18 ) during the follow-up stage ( 9. 3 ±6. 3 months ). Conclusion It demonstrated that the Wingspan stent had well therapeutic effect and safety, the overall perioperative complications was low.关键词
颅内动脉狭窄/Wingspan支架/治疗效果/并发症Key words
Intracranial arterial stenosis/ Wingspan stent/Therapeutic effect/Complication引用本文复制引用
殷志锋,翟宝进,焦德让,薛德友,李巍..Wingspan支架治疗症状性颅内动脉狭窄的临床疗效[J].疑难病杂志,2012,11(7):505-508,4.
