非外科动脉内膜斑块切除术适应证的颈内动脉狭窄患者颈内动脉支架术Internal carotid artery stenting in patients at hight risk for surgical endarterectomy
张邢炜,P R Roy,D W M Muller
摘要(Abstract)：
目的 评价非外科内膜斑块切除术适应证的颈内动脉狭窄患者颈内动脉支架植入术的安全性与有效性。方法 2 6例病人 2 7支颈内动脉共植入 2 7个Wall支架。所有病人根据造影所显示的血管直径 ,先用小型号球囊预扩张 ,然后置入合适的Wall支架 ,再用相应大小球囊整形扩张。结果 2 7支颈内动脉全部扩张成功并置入支架 ,血管狭窄率从术前的 (75 0± 10 0 ) %降至 (5 3±11 0 ) %(P <0 0 1)。并发症包括小中风 1例 ,2 1d后基本恢复。结论 对不适应外科内膜斑块切除术的颈内动脉狭窄患者 ,行颈内动脉球囊扩张及支架植入术是安全、有效的。
关键词(KeyWords)： 颈内动脉狭窄;颈内动脉内膜斑块切除术;脑血管病;动脉粥样硬化
基金项目(Foundation):
作者(Author): 张邢炜,P R Roy,D W M Muller
参考文献(References)：
- 1MaybergMR ,WilsonSE ,YatsuF ,etal.Fortheveteransaffairscooperativestudiesprogram309trialistgroup.Carotidendarterectomyandpreventionofcerebralischemiainsymptomaticcarotidstenosis.JAMA ,1991,266:32893294.
- 2EuropeanCarotidSurgeryTrialistsCollaborativegroup.MRCEuropeancarotidsurgerytrial:interimresultsforsymptomaticpatientswithsevere(70—99%)orwithmild(0—29%)carotidstenosis.Lancet,1991,337:12351243.
- 3SundtTM ,MeyerFB ,PiepgrasDG ,etal.In:MeyerFB ,ed.Sundts′socclusivecerebrovasculardisease.2nded.Philadelphia.WBSaundersCo,1994.241247.
- 4RyanTJ,FaxonDP ,GunnarRM ,etal.Guidelinesforpercutaneoustransluminalcoronaryangioplasty:areportoftheAmericanCollegeofCardiologyAmericanHeartAssosiationTaskForceonassessmentofdiagnosticandtherapeuticcardiovascularprocedures(subcommitteeonpercutaneoustransluminalcoronaryangioplasty).IAmCollCardiol,1988,12:529545.
- 5BrottT ,AdamsHP ,Jr,OlingerCP ,etal.Measurementsofacutecerebralinfarction:aclinicalexaminationscale.Stroke,1989,20:864870.
- 6MathurA ,RoubinGS ,Iyerss,etal.Predictorsofstrokecomplicatingcarotidarterystenting.Circulation,1898,97:12391245.
- 7WaigandJ,GrossCM ,UhlichF ,etal.Electivestentingofcarotidarterystenosisinpatientswithseverecoronaryarterydisease.EuropeanHeartJ ,1998,19:13651370.
- 8NaylorAR ,BoliaA ,AbbottRJ,etal.Randomizedstudyofcarotidangioplastyandstentingversuscarotidendarterectomy:astoppedtrial.JVascSurg,1998,28:326334.
扩展功能
本文信息
服务与反馈
本文关键词相关文章
本文作者相关文章
中国知网
分享