国际医药卫生导报2013，Vol.19Issue(1)：82-85,4.DOI:10.3760/cma.j.issn.1007-1245.2013.01.032
颅外颈动脉狭窄支架成形术治疗体会
Experience in stent angioplasty for extracranial carotid stenosis
杨继党 1傅贤 1殷建瑞1
作者信息
- 1. 510260 广州医学院第二附属医院神经内科
- 折叠
摘要
Abstract
Objective To summarize the experience in clinical application of percutaneous transluminal stent angioplasty in the treatment of extracranial carotid stenosis.Methods The clinical data on 52 patients with extracranial carotid stenosis who had undergone percutaneous transluminal stent angioplasty in our hospital during January 2009 to December 2011 were retrospectively reviewed.The characteristics of the narrowing vessels and the success rate of surgery were analyzed ; correction of vascular stenosis,improvement in clinical symptoms,and incidence of complications were assessed.Results Vascular stenosis was extremely severe in 5 patients,severe in 36,and moderate in 11.Stenosis at internal carotid artery was found in 40 patients,stenosis at common carotid artery in,stenosis at furcation in 5,and stenosis at extracranial carotid artery higher than cervical 2 in 4.56 self-expandable metallic stents were implanted in 52 patients,with a success rate of 96.2％ (50/52).Intraoperative angiography showed the stenotic degree was significantly improved and the percentage of residual stenosis was less than 20％.Symptoms disappeared or improved in 49 patients during the perioperative period,with a rate of 94.2％.Complications occurred postoperatively in 3 patients (5.8％).Conclusions Selection of self-expandable stent therapy for extracranial carotid stenosis according to the surgical indications including degree of carotid artery stenosis,vascular anatomy and body tolerance to surgery can effectively expand vessels,correct of vascular stenosis,and relieve clinical symptoms.The procedure has a higher success rate,lower incidence rates of complications and postoperative ischemic stroke,being an effective and safe therapeutic method for extracranial carotid stenosis.关键词
颅外颈动脉狭窄/支架成形术Key words
Extracranial carotid stenosis/Stent angioplasty引用本文复制引用
杨继党,傅贤,殷建瑞..颅外颈动脉狭窄支架成形术治疗体会[J].国际医药卫生导报,2013,19(1):82-85,4.
