临床神经外科杂志2016，Vol.13Issue(1)：28-30,34,4.DOI:10.3969/j.issn.1672-7770.2016.01.008
CEA 治疗伴对侧颈内动脉闭塞的颈动脉重度狭窄的疗效
Outcomes of carotid endarterectomy in severe carotid stenosis with contralateral occlusion
周刚 1谢轩贵 1张洪良 1李少一2
作者信息
- 1. 610041 成都市第一人民医院神经外科
- 2. 中国医科大学附属盛京医院神经外科
- 折叠
摘要
Abstract
Objective To analyze the peri-operative mortality ,stroke rates and late benefits of carotid endarterectomy ( CEA) with contralateral occlusion in a single medical center .Methods The clinical data of 11 cases were analyzed retrospectively , including postoperative period and follow-up and compare the peak velocity of carotid artery and middle celebral artery 3 months before and after operation.Results The technical success rate was 100% with no peri-operative mortality or ischemic stroke .The overall peri-operative complication occurred in 2 patients , including 1 subcutaneous haematomas and 1 transient hoarseness .The average follow-up time was 32 .5 ±17 .2 months with follow-up rate 100%.The difference of the peak velocity of carotid artery and middle celebral artery 3 months before and after operation was significant (all P<0.05).Conclusion CEA for patients with contralateral to an occluded carotid artery can be performed with acceptable perioperative mortality and stroke risk rates , as well as a satisfactory long-term beneficial effect in stroke prevention .关键词
颈动脉内膜剥脱术/颈动脉狭窄/颈动脉闭塞Key words
carotid endarterectomy/carotid artery stenosis/carotid artery occlusion分类
医药卫生引用本文复制引用
周刚,谢轩贵,张洪良,李少一..CEA 治疗伴对侧颈内动脉闭塞的颈动脉重度狭窄的疗效[J].临床神经外科杂志,2016,13(1):28-30,34,4.
