[1]高红华,高连波.支架成形术及药物治疗支架成形术及药物治疗症状性大脑中动脉狭窄的随机对照研究[J].介入放射学杂志,2013,(02):89-092.
 GAO Hong-hua,GAO Lian- bo..Stent implantation combined with drug therapy versus pure drug therapy for symptomatic severe stenosis of middle cerebral artery: a randomized and comparative study[J].journal interventional radiology,2013,(02):89-092.
点击复制

支架成形术及药物治疗支架成形术及药物治疗症状性大脑中动脉狭窄的随机对照研究()

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:
2013年02期
页码:
89-092
栏目:
神经介入
出版日期:
2013-02-25

文章信息/Info

Title:
Stent implantation combined with drug therapy versus pure drug therapy for symptomatic severe stenosis of middle cerebral artery: a randomized and comparative study
作者:
高红华高连波
Author(s):
GAO Hong-hua GAO Lian- bo.
Department of Neurology, the Fourth Affiliated Hospital, China Medical University, Shenyang 110032, China
关键词:
【关键词】 缺血性脑卒中 大脑中动脉 支架
文献标志码:
A
摘要:
【摘要】 目的 比较单纯药物治疗及药物联合支架治疗症状性大脑中动脉重度狭窄的疗效。方法 采用单中心、随机、对照、前瞻性研究,将34例症状性大脑中动脉狭窄 ≥ 70%的患者随机分为药物治疗组(药物组)18例和药物联合支架治疗组(支架组)16例,并进行12个月以上的随访,终点事件为狭窄动脉供血区出现脑卒中。结果 支架组与药物组均无出血性脑卒中发生。随访期内,药物组18例中发生狭窄侧大脑中动脉供血区再发脑梗死5例(27.78%),3例发生大脑中动脉闭塞(16.67%,其中2例为无症状性闭塞),支架组未发生支架侧脑梗死,12个月时复查DSA无支架内再狭窄或闭塞。支架组缺血性脑卒中复发率低于药物组(P < 0.05)。结论 选择性的支架治疗对预防缺血性脑卒中的复发可能较单纯药物治疗更为有效。

参考文献/References:

[1] Wong LK. Global burden of intracranial atherosclerosis[J]. Int J Stroke, 2006, 1: 158 ?蛳 159.[2] Chimowitz MI, Lynn MJ, Howlett?蛳 Smith H. Comparison of warfarin and aspirin for symptomatic intracranial arterial stenosis[J]. N Engl J Med, 2005, 352: 1305 ?蛳 1316.[3] Chimowitz MI, Lynn MJ, Derdeyn CP, et al. Stenting versus aggressive medical therapy for intracranial arterial stenosis[J]. N Engl J Med, 2011, 365: 993 ?蛳 1003.[4] Furie KL, Kasner SE, Adams RJ, et al. Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2011, 42: 227 ?蛳 276.[5] Amarenco P, Bogousslasky J, Callahan A 3rd, et al. High ?蛳 dose atrovastatin after stroke or transient ischemic attack[J]. N Engl J Med, 2006, 355: 549 ?蛳 559.[6] Amarenco P, Goldstein LB, Szarek M, et al. Effects of intense low?蛳 density lipoprotein cholesterol reduction in patients with stroke or transient ischemic attack: the Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) trial[J]. Stroke, 2007, 38: 3198 ?蛳 3204.[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, 19: 227 ?蛳 230.[8] Jiang WJ, Yu W, Du B, et al. Outcome of patients with ≥ 70% symptomatic intracranial stenosis after wingspan stenting[J]. Stroke, 2011, 42: 1971 ?蛳 1975.[9] Jiang WJ, Cheng ?蛳 Ching E, Abou?蛳 Chebl A, et al. Multicenter analysis of stenting in symptomatic intracranial atherosclerosis[J]. Neurosurgery, 2012, 7: 25 ?蛳 30.[10] 洪 波, 刘建民. 支架置入与强化药物治疗预防颅内动脉狭窄再发卒中对照试验(SAMMPRIS)的问题和启示[J]. 中国脑血管病杂志, 2012, 9: 1 ?蛳 4.[11] Psychogios MN, Schramm P, Buhk JH, et al. Angiographic CT after intravenous contrast agent application: a noninvasive follow?蛳 up tool after intracranial angioplasty and stenting[J]. Am J Neuroradiol, 2010, 31: 1886 ?蛳 1891.[12] 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, 17: 555 ?蛳 559.

相似文献/References:

[1]王德仁,马如钧,马积斌,等.血管内栓塞治疗外伤性颈内动脉海绵窦瘘二例[J].介入放射学杂志,2000,(01):59.
[2]郭新宾,陈 振,王子博,等. 急诊血管成形及支架植入术治疗急性 大脑中动脉闭塞[J].介入放射学杂志,2012,(10):802.
 GUO Xin- bin,CHEN Zhen,WANG Zi- bo,et al. Emergency angioplasty and stent placement for the treatment of acute middle cerebral artery occlusion[J].journal interventional radiology,2012,(02):802.
[3]谢珊珊,程敬亮,张 勇,等. 三种方法诊断大脑中动脉狭窄的对照研究[J].介入放射学杂志,2014,(02):96.
 XIE Shan? shan,CHENG Jing? liang,ZHANG Yong,et al. The diagnosis of middle cerebral artery stenosis: comparative study of three modalities[J].journal interventional radiology,2014,(02):96.
[4]王洪生,刘 圣,赵林波,等.Solitaire AB型支架取栓治疗急性大脑中动脉栓塞疗效分析[J].介入放射学杂志,2015,(08):658.
 WANG Hong-sheng,LIU Sheng,ZHAO Lin-bo,et al.Solitaire AB stent thrombectomy for the treatment of acute middle cerebral artery occlusion: analysis of curative effect[J].journal interventional radiology,2015,(02):658.
[5]周 斌,孙 祎,曹 烨,等.三维血管壁MRI与DSA评价大脑中动脉粥样硬化性狭窄对比研究 [J].介入放射学杂志,2019,28(11):1024.
 ZHOU Bin,SUN Yi,CAO Ye,et al.3D- VW- MRI versus DSA in evaluating atherosclerotic stenosis of middle cerebral artery: a comparison study[J].journal interventional radiology,2019,28(02):1024.
[6]李 强,朱良付,周腾飞,等.SWIM技术在大脑中动脉急性闭塞治疗中的应用[J].介入放射学杂志,2019,28(08):717.
 LI Qiang,ZHU Liangfu,ZHOU Tengfei,et al.The application of SWIM technology in the treatment of acute occlusion of middle cerebral artery[J].journal interventional radiology,2019,28(02):717.

备注/Memo

备注/Memo:
(收稿日期:2012-1-11)
更新日期/Last Update: