[1]李钊硕,李天晓,翟水亭,等.症状性颅内动脉粥样硬化性狭窄的Wingspan支架成形术[J].介入放射学杂志,2008,(08):555.
 LI Zhaoshuo,LI Tianxiao,ZHAI Shuiting,et al.Treatment of symptomatic intracranial atheromatous ischemic disease with Wingspan stent system:short-term results[J].journal interventional radiology,2008,(08):555.
点击复制

症状性颅内动脉粥样硬化性狭窄的Wingspan支架成形术()

PDF下载中关闭

分享到:

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

卷:
期数:
2008年08期
页码:
555
栏目:
神经介入
出版日期:
2008-08-15

文章信息/Info

Title:
Treatment of symptomatic intracranial atheromatous ischemic disease with Wingspan stent system:short-term results
作者:
李钊硕李天晓翟水亭
450003郑州河南省人民医院介入科
Author(s):
LI Zhao-shuoLI Tian-xiaoZHAI Shui-tingXUE Jiang-yuWANG Zi-liangBAI Wei-xingSHI Shuai-tao.
Department of Interventional Radiology,Henan Provincial Pepoles' Hospital,Zhengzhou450003,China
关键词:
血管成形术颅内动脉狭窄支架短暂性脑缺血发作
分类号:
R543.5
文献标志码:
A
摘要:
目的评价Gateway-Wingspan球囊支架系统治疗症状性颅内动脉粥样硬化性狭窄的安全性、可行性及近期疗效。方法应用Gateway-Wingspan球囊支架系统治疗17例症状性颅内动脉狭窄患者,观察支架置入前后症状、狭窄率改善、手术成功率及并发症发生情况,术后平均随访5个月。结果17处病变,其中位于颈内动脉颅内段5处,大脑中动脉5处,椎动脉颅内段4处,基底动脉3处。16处病变经Gateway球囊预扩张后支架成功准确释放。1例因Gateway球囊无法到达靶病变,支架直接定位后释放。支架成功率100%。治疗前平均狭窄率为82%,治疗后残余平均狭窄率为43%。术后平均随访5个月,4例一过性缺血发作(TIA)患者未再次发作;12例卒中患者症状均有明显改善。1例发生并发症,考虑为对侧半球梗死。未发生出血性并发症。结论采用Gateway-Wingspan球囊支架系统治疗颅内动脉粥样硬化性狭窄有良好的安全性与短期疗效。

参考文献/References:

[1]Wong KS,Li H,Lam WWM,et al.Progression of middle cerebral artery occlusive disease and its relationship with further vascular events after stroke[J].Stroke,2002,33:532-536.
[2]Feldmann E,Daneauh N,Kwan E,et al.Chinese and white differences in the distribution of occlusive cerebrovascular disease[J].Neurology,1990,40:l541-l545.
[3]Wityk RJ,Lehman D,Klag M,et al.Race and sex differences in the distribution of cerebral atherosclerosis[J].Stroke,1996,27:1974-1980.
[4]Sacco RL,Kargman DE,Gu Q,et al.Race-ethnicity and determinants of intracranial atherosclerotic cerebral infarction:the Northern Manhattan Stroke Study[J].Stroke,1995,26:14-20.
[5]Kasner SE,Chimowitz MI ,Lynn MJ ,et al.Predictors of ischemic stroke in the territory of asymptomati c intracranial arterial stenosis[J].Circulation,2006,113:555-563.
[6]Marks MP ,Wojak JC,Al -Ali F,et al.Angioplasty for symptomatic intracranial stenosis:clinical outcome [J].Stroke,2006,37:1016-1020.
[7]Lylyk P,Cohen JE,Ceratto R,et al.Angioplasty and stent placement in intracranial atherosclerotic stenoses and dissections[J].AJNR,2002,23:430-436.
[8]The SSYLVIA Study Investigators.Stenting of symptomatic atherosclerotic lesions in the vertebral or intracranial arteries(SSYLVIA)[J].Stroke,2004,35:1388-1392.
[9]Hartmann M,Jansen O.Angioplasty and stenting of intracranial stenosis[J].Curr Opin Intern Med,2005,4:132-138.
[10]HenkesH,MiloslavskiE,Lowens S,et al.Treatment of intracranial atherosclerotic stenoses with balloon dilatatio n and self-expanding stent deployment (WingSpan)[J].Neur orad-iology,2005,47:222-228.
[11]Bose A,Hartmann M,Henkes H,et al.A novel,self-expanding,nitinol stent in medically refractory intracranial atherosclerotic stenoses:the Wingspan study[J].Stroke,2007,38:1531-1537.
[12]Fi0orella D,Levy EI ,Turk AS,et al.US multicenter experience with the wingspan stent system for the treatment of intracranial atheromatous disease:eriprocedural results[J].Stroke,2007,38:881-887.
[13]Warfarin-Asprin Symptomatic Intracranial Disease(WASID)Study Group.Prognosis of patients with symptomatic vertebral or basilar artery stenosis:the Warfarin-Asprin Symptomatic Intrac-ranial Disease(WASID)Study Group[J].Stroke,1998,29:1389-1392.
[14]EC/IC Bypass Study Group.Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke.Results of an international randomized trial[J].N Engl J Med,1985,313:1191-1200.
[15]Hopkins LN,Budny JL.Complications of intracranial bypass for vertebrobasilar insufficiency[J].J Neurosurg,1989,70:207-211.
[16]Kim JK,Ahn JY,Lee BH,et al.Elective stenting for symptomatic middle cerebral artery stenosis presenting as transient ischaemic deficits or stroke attacks:short-term arteriog-raphical and clinical outcome [J].J Neurol Neurosurg Psychia-try,2004,75:847-851.
[17]Lee TH,Kim DH,Lee BH,et al.Preliminary results of endovascular stent -assisted angio-AJNR Am J plasty for symptomatic middle cerebral artery stenosis[J].Neuroradiology,2005,26:166-174.
[18]Weber W,Mayer TE,Henkes H,et al.Stent -angioplasty of intra cranial vertebral and basilar artery stenoses in symptomatic patients[J].Eur J Radiol,2005,55:231-236.
[19]Connors JJⅢ,Wojak JC.Percutaneous transluminal angioplasty for intracranial atherosclerotic lesions:evolution of technique and short-term results[J].J Neurosurg,1999,91:415-423.
[20]高峰,杜彬,姜卫剑,等.Wingspan支架治疗国人症状性颅内动脉狭窄的初步经验[J].中国卒中杂志,2007,2:569-573.
[21]邓剑平,李健,高国栋,等.Wingspan支架治疗症状性颅内动脉狭窄的围手术期临床疗效观察[J].中国脑血管杂志,2008,5:32-36.

相似文献/References:

[1]王建波,赵俊功,朱悦琦,等.膝下动脉经皮腔内血管成形术治疗糖尿病下肢缺血[J].介入放射学杂志,2008,(05):318.
 WANG Jianbo,ZHAO Jungong,ZHU Yueqi,et al.Balloon angioplasty of infrapopliteal artery in chronic lower limb ischemia with diabetes[J].journal interventional radiology,2008,(08):318.
[2]纪东华,王峰,Dierk Scheinert,等.缺血性糖尿病下肢病变的膝下动脉成形术[J].介入放射学杂志,2008,(05):328.
 JI Donghua,WANG Feng.Infrapopliteal angioplasty in the treatment of ischaemic diabetic lower limbs[J].journal interventional radiology,2008,(08):328.
[3]李郁芳,蒋初明,李冬华,等.金属裸支架与药物洗脱支架在治疗症状性椎-基底动脉狭窄与急性闭塞中的应用[J].介入放射学杂志,2008,(10):692.
 LI Yufang,JIANG Chuming,LI Donghua,et al.Preliminary clinical application of bare metal stent and drug eluting stent angioplasty in vertebrobasilar stenosis and acute occlusion[J].journal interventional radiology,2008,(08):692.
[4]田浩,徐浩,李国均,等.肝静脉阻塞型布-加综合征误诊误治原因分析[J].介入放射学杂志,2008,(11):769.
 TIAN Hao,XU Hao,LI Guojun,et al.The analysis of misdiagnosis and mistreatment in Budd-Chiari syndrome with hepatic vein obstruction[J].journal interventional radiology,2008,(08):769.
[5]欧阳强,董伟华,肖湘生,等.移植肾动脉狭窄的介入治疗[J].介入放射学杂志,2008,(12):853.
 OUYANG Qiang,DONG Weihua,XIAO Xiangsheng.Interventional treatment of transplanted renal artery stenosis[J].journal interventional radiology,2008,(08):853.
[6]肖红兵,顾俊,张大东.早期应用替罗非班对急性心肌梗死急症PCI 术后C反应蛋白水平的影响[J].介入放射学杂志,2010,(02):101.
 XIAO Hongbing,GU Jun,ZHANG Dadong.The effect of early application of Tirofiban on CRP levels in patients with acute myocardial infarction after emergency percutaneous coronary intervention[J].journal interventional radiology,2010,(08):101.
[7]吕惠生,牛惠敏,晁苑翔,等.血管支架成形术治疗症状性大脑中动脉狭窄[J].介入放射学杂志,2010,(03):227.
 LHuisheng,NIU Huiming,CHAO Yuanxiang,et al.Stent angioplasty for the treatment of symptomatic stenosis of middle cerebral artery[J].journal interventional radiology,2010,(08):227.
[8]李子川,杨军,耿树军,等.老年患者急性下肢动脉缺血介入溶栓及支架置入治疗[J].介入放射学杂志,2010,(08):651.
 LI Zichuan,YANG Jun,GENG Sujun,et al.The interventional intra-arterial thrombolysis of acute ischemia of lower limb in elderly patients[J].journal interventional radiology,2010,(08):651.
[9]张福先,张昌明,胡路,等.预置导管溶栓辅助血管成形治疗慢性肢体动脉闭塞性疾病[J].介入放射学杂志,2010,(09):718.
 ZHANG Fuxian,ZHANG Changming,HU Lu,et al.Preparatory catheter-directed thrombolysis together with assisted endovascular angioplasty for the treatment of chronic occlusive arterial disorders of lower extremities[J].journal interventional radiology,2010,(08):718.
[10]祖茂衡,徐浩,顾玉明,等.经皮经肝和经颈静脉行肝静脉成形术[J].介入放射学杂志,1997,(01):2.

备注/Memo

备注/Memo:
收稿日期:2008-05-19
更新日期/Last Update: 2008-08-15