中国卒中杂志2016，Vol.11Issue(7)：536-541,6.DOI:10.3969/j.issn.1673-5765.2016.07.004
颈动脉内膜剥脱术和颈动脉支架的疗效分析
Efifcacy Analysis of Carotid Endarterectomy and Carotid Artery Stenting
陈宇 1刘昌伟 1刘志丽 1吴巍巍 1曾嵘 1宋小军 1刘暴1
作者信息
摘要
Abstract
Objective To analyze the early and midterm outcomes of carotid endarterectomy (CEA) and carotid artery stenting (CAS) in patients with arteriosclerotic carotid artery stenosis retrospectively. Methods The clinical data were collected and analyzed for the patients with arteriosclerotic carotid stenosis treated with CEA or CAS from January 2010 to December 2014 in Peking Union Medical College Hospital. The rate of periprocedural complication, the restenosis and ipsilateral stroke happened in the ifrst year after the procedure were compared. Results From January 2010 to December 2014, 572 patients with carotid artery stenosis were treated in our institution. Among whom, 456 cases of CEA and 116 cases of CAS were performed. There was no signiifcant difference of the characteristics in the two groups. There was no signiifcant difference in surgery-related death (0.2%vs 0), 30 d ischemic stroke (1.1%vs 1.7%), acute myocardial infarction (0.7%vs 1.7%), wound hematoma (0.4%vs 0.8%), implant infection (0.4%vs 0), cranial nerve damage (1.1%vs 0) and hyperperfusion syndrome (5.7%vs 3.4%) between CEA and CAS, respectively. The ratio of persistent hypotension was signiifcant higher in CAS group (12.9%vs 1.1%, P<0.01). One year follow-up showed that there was more restenosis (>50%) in CAS group (6.9%vs 2.6%,P=0.026), but there was no signiifcant difference in severe restenosis (>70%) (2.5%vs 1.1%) and ipsilateral stroke (0.9%vs 0.4%) between the two groups. Conclusion Both CEA and CAS are safe and effective in the treatment of carotid artery stenosis. However, the ratio of persistent hypotension and restenosis is signiifcant higher in CAS group.关键词
颈动脉狭窄/动脉内膜剥脱术/支架Key words
Carotid stenosis/Endarterectomy/Stenting引用本文复制引用
陈宇,刘昌伟,刘志丽,吴巍巍,曾嵘,宋小军,刘暴..颈动脉内膜剥脱术和颈动脉支架的疗效分析[J].中国卒中杂志,2016,11(7):536-541,6.
