[1]郭建明,李俊峰,谷涌泉,等.内膜剥脱联合支架成形治疗颈动脉串联病变 [J].介入放射学杂志,2015,(10):910-913.
 GUO Jian- ming,LI Jun- feng,GU Yong- quan,et al.Carotid endarterectomy combined with stent angioplasty for the treatment of tandem stenosis of carotid artery[J].journal interventional radiology,2015,(10):910-913.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年10期
页码:
910-913
栏目:
临床研究
出版日期:
2015-10-25

文章信息/Info

Title:
Carotid endarterectomy combined with stent angioplasty for the treatment of tandem stenosis of carotid artery
作者:
郭建明 李俊峰 谷涌泉 郭连瑞 俞恒锡 齐立行 崔世军 佟 铸 高喜翔 吴英锋 刘梦霞 张 建 汪忠镐
Author(s):
GUO Jian- ming LI Jun- feng GU Yong- quan GUO Lian- rui YU Heng- xi QI Li- xing CUI Shi- jun TONG Zhu GAO Xi- xiang WU Ying- feng LIU Meng- xia ZHANG Jian WANG Zhong- gao
Department of Vascular Surgery, Xuanwu Hospital of Capital Medical University, Vascular Surgery Institute of Capital Medical University, Department of Vascular Surgery of Capital Medical University, Beijing 100053, China
关键词:
【关键词】 颈动脉 无名动脉 狭窄 内膜剥脱术 支架植入术 复合手术
文献标志码:
A
摘要:
【摘要】 目的 探讨颈动脉内膜剥脱术(CEA)联合颈动脉支架成形术(CAS)治疗颈动脉串联病变的安全性和有效性。方法 回顾性分析2013年1月至2014年10月诊治的9例颈动脉串联病变患者资料,男7例,女2例,平均年龄(66.0±4.2)岁;病程2~36个月不等,平均7个月。所有患者均有脑缺血症状,5例存在短暂性脑缺血发作,既往脑梗死2例,伴有冠心病2例,高血压病6例,下肢缺血1例;于充分抗血小板治疗后接受CEA联合CAS术。结果 手术技术成功率为100%,术后残余狭窄均小于30%,无围手术期死亡患者。9例患者术前症状均得到改善,无新发脑卒中、脑出血事件。术后2例出现头痛、头晕的脑灌注症状,但出院前均缓解。9例患者随访4~19个月,平均(10.5±6.2)个月,无症状复发,1例术后6个月复查经颅多普勒超声提示颈动脉中度(50%~70%)再狭窄,无死亡患者。结论 CEA联合CAS术治疗颈动脉串联病变是安全和有效的,但仍需更大样本远期随访研究进一步证实。


参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2015-01-31)
(本文编辑:边 佶)
更新日期/Last Update: 2015-10-19