中国动脉硬化杂志2018，Vol.26Issue(2)：186-189,193,5.
颅内侧枝循环开放程度与颈动脉支架置入术后短期预后的关系
The relationship between the intracranial collateral circulation and short-term prognosis after carotid artery stenting
阿力木·吾甫尔 1韩登峰 1哈力旦·加马力丁 1夏提古力·亚力坤 1周君 1马建华1
作者信息
- 1. 新疆医科大学第一附属医院神经内科,新疆乌鲁木齐市830054
- 折叠
摘要
Abstract
Aim To investigate the influence of the intracranial collateral circulation on the short-term prognosis of symptomatic carotid artery stenosis after carotid artery stenting(CAS).Methods 111 patients with extracranial carotid artery stenosis were treated with stent in our hospital,the collateral circulation of patient and their rate of events at clinical end point during follow-up period were compared and analyzed.Results The patients in good collateral circulation group was 53,and in poor collateral circulation group was 58;Good collateralization was more frequently associated with serious ipsilateral ICA stenosis (≥90％),and was more obvious with the development of the anterior communicating artery (ACoA),leptomeningeal collaterals(LC) (P＜0.05) and had negative correlation with diabetes (P=0.036);There were 2 patients with cerebral hemorrhage after CAS,and all of them were in good collateral circulation group;All patients were followed up for 1 year,and 3 cases of recurrent cerebral infarction were in poor collateral circulation group;The scores of NIHSS and mRS in good collateral circulation group were significantly lower than those of poor collateral circulation group before and after 1 year.Conclusion Good collateral circulation can improve the neurological function of symptomatic carotid stenosis patients,and may be a protective factor for ipsilateral stroke during clinical follow-up.关键词
侧枝循环/颈动脉支架置入术/颅外段颈动脉狭窄/短期预后/脑梗死Key words
Collateral circulation/Carotid artery stenting/Extracranial carotid artery stenosis/Short-term prognosis/Cerebral infarction分类
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阿力木·吾甫尔,韩登峰,哈力旦·加马力丁,夏提古力·亚力坤,周君,马建华..颅内侧枝循环开放程度与颈动脉支架置入术后短期预后的关系[J].中国动脉硬化杂志,2018,26(2):186-189,193,5.
