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Long-term outcomes of stent-assisted angioplasty in patients with carotid artery stenosis
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 8
- DOI:
- 10.3760/j.issn:1001-2346.2007.08.003
- Key Word:
- 血管成形术;颈动脉狭窄;支架;卒中
Abstract： 目的 总结颅外颈动脉狭窄支架成形治疗的长期疗效,以分析其安全性及有效性.方法 收集采用自膨胀支架进行血管成形治疗并进行1年以上长期随访的颈动脉狭窄患者168例的临床和影像学资料,分析再卒中率和再狭窄率.结果 168例患者共行颈动脉支架成形术179次(其中11例为双侧颈动脉狭窄),支架置入均获得成功,血管狭窄程度从治疗前的平均(76.4±12.5)%降低到(11.2±7.8)%.术后临床随访(12-56个月,平均24.5个月),其中5例发生治疗侧的TIA或小卒中(2.6%),1例为非治疗侧的小卒中,1例非卒中死亡(0.6%).12个月以上的DSA随访中无症状性再狭窄2例(1.2%),63例有明显内膜增生(＜50%).结论 血管内支架成形术治疗颈动脉狭窄是安全、可行的,长期随访结果显示能显著降低卒中发生率及残死率.
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