[1]郭仕峰,庄肃敬,许跃龙,等.自发性颅外段颈内动脉夹层八例的诊断及介入治疗[J].介入放射学杂志,2014,(11):937-940.
GUO Shi feng,ZHUANG Su jing,XU Yue long,et al.The diagnosis and endovascular stent implantation treatment of spontaneous extracranial internal carotid artery dissection: initial experience of eight cases[J].journal interventional radiology,2014,(11):937-940.
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自发性颅外段颈内动脉夹层八例的诊断及介入治疗 (
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2014年11期
- 页码:
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937-940
- 栏目:
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神经介入
- 出版日期:
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2014-11-25
文章信息/Info
- Title:
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The diagnosis and endovascular stent implantation treatment of spontaneous extracranial internal carotid artery dissection: initial experience of eight cases
- 作者:
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郭仕峰; 庄肃敬; 许跃龙; 李广峰; 薛彦忠; 郝培来
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- Author(s):
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GUO Shi feng; ZHUANG Su jing; XU Yue long; LI Guang feng; XUE Yan zhong; HAO Pei lai.
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Department of Neurology, Yishui Municipal Central Hospital, Linyi City, Shandong Province 276400, China
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- 关键词:
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【关键词】 颅外段颈内动脉夹层; 保护伞; 预扩张
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨自发性颅外段颈动脉夹层(eICD)患者血管内支架植入术治疗的安全性和疗效。方法 选取2012年1月—2013年9月经脑血管造影明确诊断的8例症状性自发性eICD患者,经抗栓治疗无效后行支架植入术。在治疗后对其临床资料进行总结,并进行出院后随访,通过整理得出数据。结果 在8例自发性eICD患者中,所有支架植入手术均获得成功,2例患者在术中应用了保护伞,无并发症发生。术后即刻造影检查,6例eICD病变处狭窄基本消失。2例患者于术中球囊预扩张后出现血管闭塞,在迅速支架植入后血管恢复通畅,残留10% ~ 20%狭窄,其余6例患者术后半年随访无一例发生支架内再狭窄。结论 血管内支架植人术治疗自发性eICD安全、有效,但应仔细判断狭窄发生的部位,谨慎对狭窄部位预扩张以及应用保护伞。
参考文献/References:
[1] Shah Q, Messé SR. Cervicocranial arterial dissection[J]. Curr Treat Options Neurol, 2007, 9: 55 62.
[2] Kennedy F, Lanfranconi S, Hicks C, et al. Antiplatelets vs anticoagulation: CADISS nonrandomized arm and meta analysis[J]. Neurology, 2012, 79: 686 689.
[3] Bajenaru O, Tiu C, Dorobat B, et al. Why antiplatelet treatment in spontaneous internal carotid dissection?[J]. J Neural Transm, 2013, 120: 335 338.
[4] Pham MH, Rahme RJ, Arnaout O, et al. Endovascular stenting of extracranial carotid and vertebral artery dissections: a systematic review of the literature[J]. Neurosurgery, 2011, 68: 856 866; discussion 866.
[5] Ferguson GG, Eliasziw M, Barr HW, et al. The North American symptomatic carotid endarterectomy trial: surgical results in 1 415 patients[J]. Stroke, 1999, 30: 1751 1758.
[6] Lyrer P, Engelter S. Antiplatelets drugs for carotid artery dissection[CD]. Cochrane Database Syst Rev, 2010(10): CD000255.
[7] Lucas C, Moulin T, Deplanque D, et al. Stroke patterns of internal carotid artery dissection in 40 patients[J]. Stroke, 1998, 29: 2646 2648.
[8] Lyrer P, Engelter S. Antithrombotic drugs for carotid artery dissection[J]. Stroke, 2004, 35: 613 614.
[9] Benninger DH, Hemnann FR, Georgiadis D, et al. Increased prevalence of hyperhomocysteinemia in cervical artery dissection causing stroke: a case control study[J], Cerebrovasc Dis, 2009, 27: 24l 246.
[10] Guillon B, Berthet K, Benslamia L, et al. Infection and the risk of spontaneous cervical artery dissection: a case control study[J]. Stroke, 2003, 34: e79 e81.
[11] Campos Herrera CR, Scaff M, Yamamoto FI, et al. Spontaneous cervical artery dissection: an update on clinical and diagnostic aspects[J]. Arq Neuropsiquiatr, 2008, 66: 922 927.
[12] Kim YK, Schulman S. Cervical artery dissection: pathology, epidemiology and management[J]. Thromb Res, 2009, 123: 810 821.
[13] Müller BT, Luther B, Hort W, et al. Surgical treatment of 50 carotid dissections: indications and results[J]. J Vasc Surg, 2000, 31: 980 988.
[14] Kernan WN, Ovbiagele B, Black HR, et al. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American heart association/American stroke association[J]. Stroke, 2014, 45: 2160 2236.
[15] Brott TG, Halperin JL, Abbara S, et al. 2011 Guideline on the management of patients with extracranial carotid and vertebral artery disease[J]. Stroke, In press 2011.
[16] 殷 勤, 张仁良, 徐格林, 等. 支架置入术治疗症状性自发性颈动脉夹层的疗效分析[J]. 中国脑血管病杂志, 2012, 9: 174 178.
备注/Memo
- 备注/Memo:
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(收稿日期:2014-05-13)
(本文编辑:李 欣)
更新日期/Last Update:
2014-11-24