中国临床医学Issue(3)：301-303,3.
超声评价颈动脉内膜剥脱术和支架置入术后颈动脉再狭窄的价值
Value of Color Doppler Ultrasound in the Evaluation of Carotid Artery Restenosis after Carotid Artery Stenting or Carotid Endarterectomy
摘要
Abstract
Objective:To investigate the value of color Doppler ultrasound in the evaluation of carotid artery restenosis after ca-rotid artery stenting (CAS) and carotid endarterectomy (CEA) .Methods :A total of 53 patients with 62 carotid artery stenosis diagnosed by digital subtraction angiography (DSA) were enrolled .All of them underwent CAS and CEA .The postoperative and preoperative ultrasound datum including the minimum luminal diameter ,the peak systolic velocity (PSV )of the internal ca-rotid artery (ICA) and common carotid artery (CCA) ,end diastolic velocity (EDV) of ICA were retrospectively analyzed . Results:A total of 52 arteries were normal or had <50% restenosis ,while 10 arteries had ≥50% restenosis after the treat-ment .Compared with those before treatment ,the minimum luminal diameter was significantly wider ,and PSVICA decreased significantly in patients with <50% restenosis(P<0 .01) ,whereas the minimum luminal diameter and PSVICA were not sig-nificantly changed in patients with≥50% restenosis(P>0 .05) .PSVICA ,EDVICA and PSVICA/PSVCCA in patients with≥50% restenosis significantly increased compared with that in patients with <50% restenosis(P<0 .01) .PSVICA/PSVCCA≥2 was set as the cut-off point ,the sensitivity and specificity for detecting ≥50% restenosis were 80 .0% and 98 .1% respective-ly .Conclusions :Color Doppler ultrasound can effectively evaluate carotid artery restenosis after CAS or CEA .关键词
颈动脉狭窄/彩色多普勒超声/颈动脉内膜剥脱术/颈动脉支架置入术/再狭窄Key words
Carotid artery stenosis/Color Doppler ultrasound/Carotid endarterectomy/Carotid artery stenting/Restenosis分类
医药卫生引用本文复制引用
徐皙婷,李超伦,何婉媛,王文平,林希元..超声评价颈动脉内膜剥脱术和支架置入术后颈动脉再狭窄的价值[J].中国临床医学,2014,(3):301-303,3.基金项目
上海市自然科学基金项目 （）
