[1]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,(03):227.
点击复制

血管支架成形术治疗症状性大脑中动脉狭窄()

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:
2010年03期
页码:
227
栏目:
临床研究
出版日期:
2010-03-15

文章信息/Info

Title:
Stent angioplasty for the treatment of symptomatic stenosis of middle cerebral artery
作者:
吕惠生牛惠敏晁苑翔
712000陕西咸阳陕西省核工业215医院
Author(s):
LHui-shengNIU Hui-mingCHAO Yuan-xiangLI Xiao-ningWU Ding-fengZHANG Chen-hongYANG JieZHANG Liang.
No.215Hospital,Shaanxi Provincial Nuclear Industry,Xianyang,Shaanxi Province712000,China
关键词:
大脑中动脉狭窄支架血管成形术
分类号:
R743.1
文献标志码:
B
摘要:
目的研究血管内支架成形术治疗症状性大脑中动脉狭窄的疗效及安全性。方法对27例症状性大脑中动脉狭窄患者行血管腔内成形术。结果27例患者中,24例成功置入冠脉支架,术后即刻造影显示狭窄程度为(8±4)%,较术前(80±19)%改善明显。2例因支架置入困难改行经皮血管腔内成形术(PTA)。平均随访18个月。25例患者术后短暂性脑缺血发作均未发生。无责任血管区新发脑梗死。1例支架置入后3h发生再灌注性脑出血。1例支架脱落后于颈内动脉虹吸部,后用抓捕器取出。1例支架置入术后6个月发生再狭窄。结论经皮血管内支架成形术是治疗症状性大脑中动脉狭窄的一种较安全有效的方法。长期疗效有待于进一步观察。

参考文献/References:

[1]Dmanne F,Daneavl TN,Kwan E,et al.Chinese white differences in the distribution of occlusive cerebravascular disease[J].Neurology,1990,40:1541-1545.
[2]Sacco PL,Kargman DE,Gu Q,et al.Race-ethnicity and detaminants of instacaranioal atherosclerotic cerebral infaraction[J].Stroke,1995,26:14-20.
[3]Suh DC,Sung KB,Cho YS,et al.Transluminal angioplasty for middle cerebral artery stenosis in patients with acute ischemic stroke[J].AJNR,1999,20:553-558.
[4]Thijs VN,Albers GW.Symptomatic intranranial atherosclerosis:Outcome of patients who fail antithrombotic therapy[J].Neurology,2000,55:490-497.
[5]Xue S.Progress in express experiental study of stenosis in MCA chin J Geriater Heart Brain Vessel[J].2004,6:214-215.
[6]Weigele JB,Taylor RA,Kasner SE.Current management of symptomatic intracranial stenosis medical versus endovascular therapy[J].Curr Atheroscler Rep,2007,9:296-304.
[7]王桂红,王拥军,姜卫剑,等.缺血性脑血管病血管造影患者脑动脉狭窄的分布特征[J].中华老年心血管疾病杂志,2003,5:315-317.
[8]Arenillas JF,Molina CA,Montaner,et al.Progression and clinical vecurrence of symptomatic middle cerebral artery stenosis alongterm follow-up transcranial[J].Doppler altrasounal study stroke,2001,32:2898-2904.
[9]缪中荣,凌锋,李慎茂,等.经皮血管内球囊扩张及植入术治疗症状性大脑中动脉狭窄[J].中华放射学杂志,2002,36:989-993.
[10]Wong KS,Li H,Lam WW,et al.Progression of middle cerebral artery occlusive disease and its relationship with further vascular events after stroke
[13]Lutsep HL,Barnwell SL,Mawad M,et al.Stenting of sympto-matic athero clerotic lesions in the vertebral or intracranial arteries(SSYLVIA):study results[J].Stroke,2003,34:253.
[14]Levy EI ,Hanel RA,Howington JU,et al.Sirolimus elutingstentsin the canine cerebral vasculature:a prospective,randcomized,blinded assessment of safety and vessel response[J].J Neurosurg,2004,100:688-694.[J].2002,33:532-536.
[11]Jiang WJ ,Wang YJ ,DUB,et al.Stenting of symptomatic M1stenosis of middle cerebral artery.Aninitial experience of40patients[J].stroke,2004,35:1375-1380.
[12]何玉清,马聪敏,李文波.高同型半胱氨酸与脑动脉狭窄[J].中国实用神经疾病杂志,2009,12:71-73.229

相似文献/References:

[1]孙玲芳,孙鸽.巨大脑动静脉畸形分次栓塞术并发症的原因分析及护理干预[J].介入放射学杂志,2010,(05):417.
 SUN Lingfang,SUN Ge.The causes and the nursing interventions of the complications due to repeated embolization therapy for huge cerebral arteriovenous malformations[J].journal interventional radiology,2010,(03):417.

备注/Memo

备注/Memo:
收稿日期:2010-02-24
更新日期/Last Update: 2010-03-15