北京大学学报（医学版）2016，Vol.48Issue(1)：149-153,5.DOI:10.3969/j.issn.1671-167X.2016.01.027
脑动脉串联病变的同期腔内治疗
Endovascular treatment in cerebral artery tandem lesions
韩金涛 1李选 1和清源 2赵海燕 3叶珊 3董国祥 1栾景源 1王昌明1
作者信息
- 1. 北京大学第三医院介入血管外科，北京 100191
- 2. 北京大学第三医院放射科，北京 100191
- 3. 北京大学第三医院神经内科，北京 100191
- 折叠
摘要
Abstract
Objective:To evaluate the effectiveness and safety of endovascular treatment in solving symptomatic cerebral artery tandem lesions.Methods:From June 201 2 to February 201 4,1 2 cases (24 lesions)with symptomatic cerebral artery tandem lesions were accepted for the endovascular treatment. The distributions of the tandem lesions were as follows:the common carotid artery and internal carotid ar-tery (1 case),the internal carotid artery and the proximal of the carotid cavernous sinus segment (3 ca-ses),the internal carotid artery and the distal of the carotid cavernous sinus segment (4 cases),the in-tracranial segment of internal carotid artery and middle cerebral artery M1 segment (2 cases),the first segment of vertebral artery and intracranial segment of vertebral artery (2 cases).All of these cases were treated from distal lesions to proximal lesions except for tandem lesions in the internal carotid artery and the distal of the carotid cavernous sinus segment in order to obtain better support.Tandem lesions were treated in the same operation with local anesthesia or general anesthesia.The procedures of the 1 2 cases retrospectively were analyzed and the peri-operation complications and responsibility region recurrent is-chemic stroke incidents observed.Results:All tandem lesions were solved successfully all at once.There were no peri-operation complications or recurrent ischemic stroke incidents.There were no recurrent is-chemic stroke incidents or stent restenosis cases in the follow-up.Conclusion:It is safe and effective for selective endovascular treatment in solving symptomatic cerebral artery tandem lesions at the same time, but we should take careful preoperative evaluation and improve the operation plan.关键词
脑动脉/颈动脉狭窄/血管成形术/动脉粥样硬化/支架Key words
Cerebral arteries/Carotid stenosis/Angioplasty/Atherosclerosis/Stents分类
医药卫生引用本文复制引用
韩金涛,李选,和清源,赵海燕,叶珊,董国祥,栾景源,王昌明..脑动脉串联病变的同期腔内治疗[J].北京大学学报（医学版）,2016,48(1):149-153,5.
