[1]王永亮,马 林,谭华桥,等.血管内再通治疗症状性非急性期颅内大动脉闭塞初步效果 [J].介入放射学杂志,2018,27(09):810-816.
WANG Yongliang,MA Lin,TAN Huaqiao,et al.Endovascular recanalization for symptomatic large intracranial artery occlusion at non- acute stage: preliminary results[J].journal interventional radiology,2018,27(09):810-816.
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血管内再通治疗症状性非急性期颅内大动脉闭塞初步效果
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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27
- 期数:
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2018年09期
- 页码:
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810-816
- 栏目:
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神经介入
- 出版日期:
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2018-09-25
文章信息/Info
- Title:
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Endovascular recanalization for symptomatic large intracranial artery occlusion at non- acute stage: preliminary results
- 作者:
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王永亮; 马 林; 谭华桥; 方 淳; 封 灏; 徐霁充; 严 烁; 韩洪杰
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- Author(s):
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WANG Yongliang; MA Lin; TAN Huaqiao; FANG Chun; FENG Hao; XU Jichong; YAN Shuo; HAN Hongjie
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Department of Interventional Radiology, Fourth Division Hospital, Xinjiang Production and Construction Corps, Yining, the Xinjiang Uygur Autonomous Region 835000, China
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- 关键词:
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【关键词】 颅内大动脉; 亚急性/慢性血管闭塞; 血管内再通术; 可行性和安全性
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 评估症状性非急性期颅内大动脉闭塞血管内再通治疗的可行性、安全性及初步效果。方法 回顾性收集2015年10月至2017年12月上海市同济医院采用血管内再通治疗的15例亚急性和慢性颅内大动脉闭塞患者临床和影像学资料,分析再通成功率、围手术期并发症及随访结果。结果15例患者中13例(86.7%)成功再通。术中发生末梢栓塞事件7例(症状性3例,无症状性4例),血管夹层1例,术后出现支架取栓相关脑出血1例。术后所有患者均存活,未发生高灌注综合征。出院时13例成功再通患者中12例症状好转,1例无明显改善;2例再通失败患者中1例症状恶化,1例无明显改善。术后13例获血管造影随访平均5.8个月,1例并发夹层再通失败患者病变段再闭塞,12例成功再通患者中1例支架内再狭窄,其余11例均无血流动力学意义上再狭窄。14例获临床随访平均5.6个月,12例成功再通患者中除1例支架内狭窄再发短暂性脑缺血发作(TIA)外,均无再发卒中及TIA,90 d 改良Rankin 量表(mRS)评分示功能良好;2例再通失败患者90 d mRS评分示功能恶化。结论 严格筛选患者基础上采取血管内开通术治疗非急性期颅内大动脉闭塞是可行、安全的,近期内能改善患者脑缺血症状,降低卒中再发率,但远期疗效有待长期随访证实。
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备注/Memo
- 备注/Memo:
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(收稿日期:2018-04-06)
(本文编辑:边 佶)
更新日期/Last Update:
2018-09-11