中国卒中杂志Issue(7):557-562,6.DOI:10.3969/j.issn.1673-5765.2015.07.005
症状性颈动脉狭窄伴有同侧中动脉狭窄的介入治疗效果研究
The Effect of Interventional Treatment in Patients with Symptomatic Carotid Artery Stenosis Associated with Ipsilateral Middle Arterial Stenosis
曹群 1刘长喜 1宋程光1
作者信息
- 1. 117000 本溪辽宁省本溪市中心医院神经内科
- 折叠
摘要
Abstract
Objective To compare short end events of simple carotid artery stent implantation (CAS) and carotid artery, middle cerebral artery stent implantation (CAS+PTAS) treatment for symptomatic carotid stenosis accompanied by artery stenosis in ischemic stroke or transient ischemic attack (TIA) in patients. Methods We were retrospectively studied the TIA or ischemic stroke patients who had carotid artery stenosis and ipsilateral middle arterial stenosis. All patients were treated with stent implantation. Patients were divided into CAS group and CAS+PTAS group. The outcomes were compared between groups and the primary outcomes were ischemic stroke, symptomatic intracranial hemorrhage and all cause of death during 90 days of follow-up. Results A total of 21 patients included in this study with an average age of (58.5±3.6) years old and 15 cases were male. There were 16 patients in the CAS group and 5 patients in the CAS+PTAS group. There were 3 (18.75%) end points in CAS group and 1 end point in the CAS+PTAS group. There was no statistical difference between the two groups (P=0.952). There was no intracranial hemorrhage and all cause of death in both groups. Conclusion Compared with the CAS treatment, CAS+PTAS treatment does not reduce the recurrent ischemic stroke risk in patients with carotid artery stenosis and ipsilateral middle arterial stenosis.关键词
颈动脉狭窄/颅内动脉狭窄/支架Key words
Carotid stenosis/Intracranial artery stenosis/Stent引用本文复制引用
曹群,刘长喜,宋程光..症状性颈动脉狭窄伴有同侧中动脉狭窄的介入治疗效果研究[J].中国卒中杂志,2015,(7):557-562,6.