中国脑血管病杂志2013，Vol.10Issue(7)：348-352,5.DOI:10.3969/j.issn.1672-5921.2013.07.004
自膨式支架治疗症状性基底动脉狭窄围手术期并发症的分析
Analysis of perioperative complications of self-expanding stents for symptomatic atherosclerotic basilar artery stenosis
摘要
Abstract
Objective To investigate the perioperative complications in patients with symptomatic atherosclerotic basilar artery stenosis treated with the self-expanding stents.Methods The clinical data of 51 patients who accepted Gateway balloon angioplasty and self-expanding stent implantation (37 using Wingspan stents,8 using Enterprise stents,5 using solitaire stents,and 1 using Neuroform stents) from November 2007 to January 2013 were analyzed retrospectively.The clinical manifestations,imaging features and incidence of periprocedure complications of the patients were evaluated.Results ①The technical success rate was 100％.The mean stenosis rate of the basilar artery lesions was decreased from 74 (50 ～95)％ before procedure to 26(0 ～48)％ after procedure.Four patients (7.8％) had different degrees of slurred speech and decreased unilateral limb muscle strength.MRI examination suggested pontine infarction due to obliteration of perforating arteries.The symptoms of 2 patients alleviated at 1 month after active treatment,and the other 2 patients still remained varying degrees of neurological impairment.②Of the 51 patients,49％,33％ and 17.6％ of their basilar artery stenosis were in the lower,middle and upper segments,respectively.After stenting,the ischemic complication rate in patients with upper segment basilar artery stenosis was higher than that with lower and middle segments (22.2％ vs.4.8％),but the difference was not statistically significant (x2 =3.115,P ＞ 0.05).Conclusion The self-expandable stents in the treatment of basilar artery stenosis are safe and feasible,however,the ischemic events due to perforating arteries obliteration are common in this group,and most of the events are occurred in patients with upper segments basilar artery stenosis.关键词
基底动脉狭窄/自膨胀式支架/并发症Key words
Basilar artery stenosis/Self-expanding stent/Complication引用本文复制引用
张磊,杨志刚,张永巍,洪波,黄清海,许奕,赵文元,刘建民..自膨式支架治疗症状性基底动脉狭窄围手术期并发症的分析[J].中国脑血管病杂志,2013,10(7):348-352,5.基金项目
国家自然科学基金(30973102) （30973102）
上海市市级医院新兴前沿技术联合攻关项目(SHDC12012103) （SHDC12012103）
长海医院1255学科建设计划(CH125520102) （CH125520102）
