[1]周兴磊,魏锋,吴胤菲,等.Gateway球囊扩张治疗症状性大脑中动脉重度狭窄患者效果评价[J].介入放射学杂志,2024,33(10):1106-1110.
 ZHOU Xinglei,WEI Feng,Wu Yinfei,et al.Evaluation of the efficacy of Gateway balloon dilatation for symptomatic severe stenosis of middle cerebral artery[J].journal interventional radiology,2024,33(10):1106-1110.
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Gateway球囊扩张治疗症状性大脑中动脉重度狭窄患者效果评价()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年10
页码:
1106-1110
栏目:
临床研究
出版日期:
2024-10-21

文章信息/Info

Title:
Evaluation of the efficacy of Gateway balloon dilatation for symptomatic severe stenosis of middle cerebral artery
作者:
周兴磊魏锋吴胤菲雷剑伟宋思辉宋书欣
Author(s):
ZHOU XingleiWEI FengWu YinfeiLEI JianweiSONG SihuiSONG Shuxin.
Department of Neurosurgery,Second Affiliated Hospital of Nanchang University,Nanchang,Jiangxi Province 330006,China
关键词:
【关键词】Gateway球囊扩张大脑中动脉重度狭窄狭窄分型狭窄程度
文献标志码:
A
摘要:
【摘要】目的评价Gateway球囊扩张术治疗症状性大脑中动脉重度狭窄的效果。方法回顾性分析2019年5月至2022年8月南昌大学第二附属医院收治的98例症状性大脑中动脉重度狭窄患者临床及影像学资料。分析Gateway球囊扩张治疗前后狭窄血管直径,狭窄段收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV),狭窄病变Mori分型,手术并发症,影像学及临床随访结果等。 结果98例患者中Mori分型A型83例(84.69%),B型15例(15.31%)。所有患者Gateway球囊扩张治疗均获成功。术后症状均有不同程度改善或稳定。狭窄病变残余管腔直径由术前(2.01±0.13) mm显著增大至术后(2.33±0.25) mm,狭窄程度由术前(81.28±15.17)%显著降低至术后(50.24±12.83)%,PSV、EDV分别由术前(251.01±60.13) cm/s、(104.28±32.25) cm/s显著降低至术后(155.33±53.28) cm/s、(70.24±36.33) cm/s,差异有统计学意义(均P<0.05)。7例患者出现手术并发症,症状随后得到改善。临床随访10个月,88例(89.79%)患者改良Rankin量表(mRS)评分≤2分,显示生活质量和功能恢复良好。 结论Gateway球囊扩张治疗症状性大脑中动脉重度狭窄远期疗效显著,手术并发症少,是治疗该类疾病的有效手段。

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备注/Memo

备注/Memo:
(收稿日期:2024-01-29)
(本文编辑:谷珂)
更新日期/Last Update: 2024-10-17