[1]董艳华,刘 朝,徐浩文,等.Enterprise支架治疗症状性颅内动脉粥样硬化性狭窄随访结果[J].介入放射学杂志,2019,28(03):217-221.
 DONG Yanhua,LIU Chao,XU Haowen,et al.The use of Enterprise stent in treating symptomatic intracranial atherosclerotic stenosis: follow- up observation results[J].journal interventional radiology,2019,28(03):217-221.
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Enterprise支架治疗症状性颅内动脉粥样硬化性狭窄随访结果()

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

卷:
28
期数:
2019年03期
页码:
217-221
栏目:
神经介入
出版日期:
2019-03-25

文章信息/Info

Title:
The use of Enterprise stent in treating symptomatic intracranial atherosclerotic stenosis: follow- up observation results
作者:
董艳华 刘 朝 徐浩文 郭新宾 管 生
Author(s):
DONG Yanhua LIU Chao XU Haowen GUO Xinbin GUAN Sheng.
Department of Neurointervention, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 Enterprise支架 症状性颅内动脉粥样硬化性狭窄 血管内治疗
文献标志码:
A
摘要:
【摘要】 目的 评价Enterprise支架治疗症状性颅内动脉粥样硬化性狭窄(sICAS)的安全性和有效性。方法 回顾性收集2012年1月至2017年12月在郑州大学第一附属医院接受Enterprise支架治疗的sICAS患者临床数据,分析患者基础参数、靶病变特点、技术成功率、围术期安全性和随访结果。结果共纳入sICAS患者27例(28处病变),植入Enterprise支架28枚。术前病变平均狭窄度为(75.7±6.7)%,术后平均残存狭窄度为(23.2±16.6)%,手术技术成功率100%。术后发生穿支事件并发症2例,未发生出血事件、动脉夹层、支架内血栓形成、高灌注综合征和心血管事件。所有患者平均随访(10.8±9.1)个月,发现3处支架内再狭窄(ISR)(≥50%,但无靶病变相关症状), ISR发生率为10.7%。未发生责任血管新发脑卒中、出血事件和死亡。结论 球囊扩张后Enterprise支架植入治疗sICAS技术可行、安全有效,围术期并发症发生率低,随访结果良好,期待随机对照研究结果。

参考文献/References:

[1] 殷志锋, 翟宝进, 焦德让, 等. 缺血性脑血管病DSA分析[J]. 介入放射学杂志, 2012, 21: 451- 455.
[2] Lutsep HL, Barnwell SL, Mawad M, et al. Stenting of symptomatic atherosclerotic lesions in the vertebral or intracranial arteries (SSYLVIA): study results[J]. Stroke, 2004, 35: 1388- 1392.
[3] Derdeyn CP, Chimowitz MI, Lynn MJ, et al. Aggressive medical treatment with or without stenting in high- risk patients with intracranial artery stenosis(SAMMPRIS): the final results of a randomised trial[J]. Lancet, 2014, 383: 333- 341.
[4] 刘英慧, 赵 卫, 石 潆. 颅内动脉狭窄支架成形术围手术期并发症分析及处理对策[J]. 介入放射学杂志, 2014, 23: 550- 553.
[5] Chimowitz MI, Lynn MJ, Howlett- Smith H, et al. Comparison of warfarin and aspirin for symptomatic intracranial arterial stenosis[J]. N Engl J Med, 2005, 14: 1305- 1306.
[6] Lutsep HL, Lynn MJ, Cotsonis GA, et al. Does the stenting versus aggressive medical therapy trial support stenting for subgroups with intracranial stenosis?[J]. Stroke, 2015, 46: 3282- 3284.
[7] Albuquerque FC, Levy EI, Turk AS, et al. Angiographic patterns of Wingspan in- stent restenosis[J]. Neurosurgery, 2008, 63: 23- 27.
[8] Feng Z, Duan G, Zhang P, et al. Enterprise stent for the treatment of symptomatic intracranial atherosclerotic stenosis: an initial experience of 44 patients[J]. BMC Neurol, 2015, 15: 187.
[9] Zaidat OO, Fitzsimmons BF, Woodward BK, et al. Effect of a balloon- expandable intracranial stent vs medical therapy on risk of stroke in patients with symptomatic intracranial stenosis: the VISSIT randomized clinical trial[J]. JAMA, 2015, 313: 1240- 1248.
[10] Jiang WJ, Xu XT, Jin M. et al. Apollo stent for symptomatic atherosclerotic intracranial stenosis: study results[J]. AJNR Am J Neuroradiol, 2007, 28: 830- 834.
[11] Higashida RT, Halbach VV, Dowd CF. et al. Initial clinical experience with a new self- expanding nitinol stent for the treatment of intracranial cerebral aneurysms: the Cordis Enterprise stent[J]. AJNR Am J Neuroradiol, 2005, 26: 1751- 1756.
[12] Krischek O, Miloslavski E, Fischer S, et al. A comparison of functional and physical properties of self- expanding intracranial stents[Neuroform3, Wingspan, Solitaire, Leo+, Enterprise][J]. Minim Invasive Neurosurg, 2011, 54: 21- 28.
[13] Wang X, Wang Z, Wang C, et al. Application of the enterprise stent in atherosclerotic intracranial arterial stenosis: a series of 60 cases[J]. Turk Neurosurg, 2016, 26: 69- 76.
[14] Vajda Z, Schmid E, Guthe T. et al. The modified Bose method for the endovascular treatment of intracranial atherosclerotic arterial stenoses using the enterprise stent[J]. Neurosurgery, 2012, 70: 91- 101.
[15] 赵 宇, 金 旻, 刘 奇. 等. Enterprise支架治疗症状性基底动脉粥样硬化性重度狭窄长期随访结果[J]. 中华内科杂志, 2016, 55: 372- 376
[16] Duffis EJ, Jethwa P, Gupta G, et al. Accuracy of computed tomographic angiography compared to digital subtraction angiography in the diagnosis of intracranial stenosis and its impact on clinical decision- making[J]. J Stroke Cerebrovasc Dis, 2013, 22: 1013- 1017.

相似文献/References:

[1]张 坤,王子亮,李天晓,等.Enterprise支架在颅内缺血性疾病治疗中的应用与前景 [J].介入放射学杂志,2021,30(05):533.
 ZHANG Kun,WANG Ziliang,LI Tianxiao,et al.The application and prospects of Enterprise stent in treating intracranial ischemic diseases[J].journal interventional radiology,2021,30(03):533.

备注/Memo

备注/Memo:
(收稿日期:2018-04-21)
(本文编辑:边 佶)
更新日期/Last Update: 2019-03-20