广西医学Issue(4)：462-464,467,4.DOI:10.11675/j.issn.0253-4304.2014.04.17
血管内支架成形术治疗症状性椎动脉开口狭窄105例临床观察
Clinical Observation on Endovascular Stenting for Treatment of Symptomatic Stenosis of Vertebral Artery Origin:A Report of 105 Cases
李绍发 1梁柯 1黄志志1
作者信息
- 1. 右江民族医学院附属西南医院暨百色市人民医院神经内科，百色市 533000
- 折叠
摘要
Abstract
Objective To investigate the effect and safety of endovascular stenting for the treatment of symptomatic stenosis of vertebral artery origin .Methods One hundred and five patients with symptomatic stenosis of vertebral artery origin received transradial vertebral stenting .The success rate of operation ,peri-operation complication and clinical effect were observed .Results One hundred and five balloon expandable stents were successfully placed in 105 patients with symptomatic stenosis of vertebral artery origin .The rate of residual stenosis following instant angiography was (9.1 ±3.0)%. The success rate of operation was 100 .00%.No arterial dissection ,intra-stent thrombosis and intracranial hemorrhage were found during peri-operative period .Transcranial color Doppler ultrasonography of vertebral artery performed again 2-7 days and one month after operation suggested that hemodynamics were improved and no restenosis was found .The total effective rate was 94.29%one month after operation.The postoperative follow-up lasted for 3-36(21 ±6)months,the rate of intra-stent restenosis was 24.76%(26/105),and no responsible artery-related transient ischemic attack and cerebral infarction were found.Conclusion Endovascular stenting for symptomatic stenosis of vertebral artery origin can relieve the vascular stenosis and significantly improve the hemodynamics of the vertebral artery with stenosis , with less complications and better clinical effects ,it is a safe and effective therapy .关键词
椎动脉狭窄/血管内支架成形术/动脉粥样硬化Key words
Vertebral artery stenosis/Endovascular stenting/Atherosclerosis分类
医药卫生引用本文复制引用
李绍发,梁柯,黄志志..血管内支架成形术治疗症状性椎动脉开口狭窄105例临床观察[J].广西医学,2014,(4):462-464,467,4.
