中国动脉硬化杂志2017，Vol.25Issue(3)：284-287,4.
新疆地区缺血性脑卒中患者颅外段脑血管支架治疗长期随访分析
Long follow-up analysis of stenting in the patients with extracranial cerebral artery stenosis in Xinjiang
阿力木·吾甫尔 1哈力旦·加马力丁 1夏提古力·亚力坤 1马建华 1张小宁1
作者信息
- 1. 新疆医科大学第一附属医院神经内科,新疆维吾尔自治区乌鲁木齐市830054
- 折叠
摘要
Abstract
Aim To assess the safety and effect of stent implantation in patients with extracranial cerebral artery stenosis in Xinjiang.Methods From 2009 to 2015,in our hospital,three hundred and twenty-three patients with symptomatic extracranial cerebral artery stenosis underwent carotid artery stenting(CAS) or vertebral artery ostium stenting (VAOS) operation.Their success rate of stent implantation,incidence of perioperative complications,and restenosis during follow-up period,modified Rankin scale(mRS) scores and events at clinical end point were compared and analyzed.Results The success rate of stent implantation in CAS and VAOS was 100％respectively,the incidence of peroperative complications was 14.4％ and 1.2％ respectively,the incidence of events at clinical end point was 15.1％ and 12.8％.The incidence of restenosis was 8.8％ and 13.4％ respectively.Cox multivariate regression analysis revealed that male and multiple artery stenosis were the independent risk factors in CAS group(HR =19.249,P=0.02;HR=0.069,P=0.034),and contralateral vertebral artery stenosis was the independent risk factors in VAOS group(HR=0.075,P=0.001).Conclusion CAS and VAOS are safe and effective methods to treat extracranial cerebral artery stenosis,however,we should pay attention to the prevention and treatment of its complications.关键词
颅外段脑血管/支架/并发症/再狭窄/长期随访Key words
Extracranial cerebral artery/Stenting/Complications/Restenosis/Follow-up study分类
医药卫生引用本文复制引用
阿力木·吾甫尔,哈力旦·加马力丁,夏提古力·亚力坤,马建华,张小宁..新疆地区缺血性脑卒中患者颅外段脑血管支架治疗长期随访分析[J].中国动脉硬化杂志,2017,25(3):284-287,4.
