You Position: Home > Paper
Endovascuar stenting for patients with high-grade ICA atherosclerotic stenosis combined with contralateral ICA occlusion
( views:534, downloads:128 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROMEDICINE
- Issue:
- 7
- DOI:
- 10.3760/cma.j.issn.1671-8925.2007.07.013
- Key Word:
- 颈内动脉闭塞;颈内动脉狭窄;支架置入术
Abstract： 目的 探讨血管内支架置人治疗对侧颈内动脉闭塞的颈内动脉高度狭窄患者的安全性和疗效.方法 在脑血管造影后,对7例一侧颈内动脉闭塞另一侧颈内动脉高度狭窄的患者在使用脑保护装置下置入自膨式支架,其中4例行球囊预扩张或后扩张术.结果 患者颈内动脉狭窄平均由83.6%±11.4%下降至12.4%±4.8%.3例患者保护伞装置回收有黄色斑片状物质.1例患者术中出现短暂全脑缺血的表现,1例发生了有症状的心率及血压下降,2例出现无症状的自行缓解的支架侧颈内动脉痉挛.随访6个月未发生前循环短暂性脑缺血和卒中事件,超声检查未发现支架部位明显再狭窄和支架形态改变.结论 血管内支架置人治疗对侧颈内动脉闭塞的颈内动脉严重狭窄的方法安全可行,有一定的疗效,但须进行长期的对照研究.
- [1]石进,吕强,张英谦,等.颈内动脉粥样硬化狭窄血管内支架置入术的疗效观察[J].2006,(1).
- [2]周定标,许百男,余新光,等.对侧颈动脉闭塞病人的颈动脉内膜切除[J].2002,(8).
- [3].Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis.[J].1991,325(7).
- [4]Wholey MH,Jaff MR,Bajwa TK,etc.Protected carotid-artery stenting versus endarterectomy in high-risk patients.[J].2004,351(15).
- [5]Randall T.Higashida,沈建康,Philip M.Meyers,等.颈动脉血管成形术和支架置入术的报道标准[J].2005,(4).
- [6]Lazzarotti G,Bartolozzi C,Marconi F,etc.Silent cerebral ischemia detected with diffusion-weighted imaging in patients treated with protected and unprotected carotid artery stenting.[J].2005,36(11).
- [7]Leisch FA Jr,Bibl D,Hofmann R,etc.Carotid sinus reactions during carotid artery stenting: Predictors, incidence, and influence on clinical outcome.[J].2003,58(4).
- [8]Kudoh T,Yamauchi H,Sugimoto K,etc.Pattern of collaterals, type of infarcts, and haemodynamic impairment in carotid artery occlusion.[J].2004,75(12).