颈内动脉起始段狭窄的支架治疗
录海斌,刘新生,李强敏,陈江波
摘要(Abstract):
目的探讨颈动脉支架成形术(CAS)的适应证、手术方法及围手术期处理等相关问题。方法收集20例颈内动脉起始段狭窄的患者,经全脑血管造影确诊后,经股动脉入路行球囊扩张支架植入术或单纯支架植入术。结果除1例患者球囊扩张后因血管迂曲明显,支架未能到位,球囊扩张支架植入术后或单纯支架植入后患者原狭窄处血管均较前扩张到正常管径的70%以上,无1例并发症发生,随访3~24个月,均经颈动脉彩超复查未见到支架内血栓形成或再狭窄。结论 CAS是治疗颈内动脉起始段狭窄的有效手段。
关键词(KeyWords): 颈内动脉起始段狭窄;数字减影血管造影;颈动脉支架成形术
基金项目(Foundation):
作者(Author): 录海斌,刘新生,李强敏,陈江波
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