[1]刘华坤,张 磊,刘朝来,等.介入分期开通症状性颈内动脉闭塞可行性临床研究[J].介入放射学杂志,2016,(12):1031-1034.
 LIU Hua- kun,ZHANG Lei,LIU Chao- lai,et al.Clinical feasibility study of interventional staged revascularization for symptomatic internal carotid artery occlusion[J].journal interventional radiology,2016,(12):1031-1034.
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介入分期开通症状性颈内动脉闭塞可行性临床研究 ()

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

卷:
期数:
2016年12期
页码:
1031-1034
栏目:
神经介入
出版日期:
2016-12-25

文章信息/Info

Title:
Clinical feasibility study of interventional staged revascularization for symptomatic internal carotid artery occlusion
作者:
刘华坤 张 磊 刘朝来 周亚飞 闫中瑞 周盛年 初建峰
Author(s):
LIU Hua- kun ZHANG Lei LIU Chao- lai ZHOU Ya- fei YAN Zhong- rui ZHOU Sheng- nian CHU Jian- feng
 Department of Neurology, Jining Municipal First People’s Hospital, Jining, Shandong Province 272011, China
关键词:
【关键词】 血管再通 颈内动脉闭塞 支架成形术
文献标志码:
A
摘要:
【摘要】 目的 探讨介入分期开通症状性颈内动脉闭塞(ICAO)的可行性和安全性,以及影响开通成功的因素。方法 回顾性分析43例接受介入分期开通支架成形术治疗的症状性ICAO患者,系统分析手术成功率、围术期并发症发生率及影响血管开通的因素。结果 43例患者中36例完成介入分期开通支架成形术,手术成功率为83.7%(36/43)。1个月内新发脑梗死患者手术成功率高于半年内短暂性脑缺血发作患者(P<0.05),ICAO侧眼动脉逆向血流在颈内动脉有反流患者手术成功率高于无眼动脉逆向血流反流患者(P<0.05)。1例患者二期术后3 d出现同侧脑组织少量出血,1例二期术后出现脑过度灌注综合征,另1例一期术后出现同侧脑卒中新发梗死,围术期并发症发生率为6.9%(3/43)。结论 介入分期开通症状性ICAO技术上可行,有着较高的安全性。1个月内新发脑梗死、ICAO侧眼动脉逆向血流反流为开通成功的有利因素。

参考文献/References:

[1] 郭建明, 谷涌泉, 郭连瑞, 等. 支架成形治疗合并对侧颈动脉闭塞的重度颈动脉狭窄[J]. 介入放射学杂志, 2015, 24: 10- 14.
[2] Cho YP, Kwon TW, Kwon SU, et al. Carotid endarterectomy for symptomatic complete occlusion of the internal carotid artery[J]. Acta Med Okayama, 2011, 65: 239- 245.
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[1]魏崇健,郗二平,何洪林,等.颈内动脉床突下段破入蝶窦的介入治疗[J].介入放射学杂志,1996,(04):204.
[2]高红华,文佳媚,高连波. 颈内动脉闭塞后脑梗死分布与侧支循环代偿的相关性研究[J].介入放射学杂志,2012,(05):362.
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备注/Memo

备注/Memo:
(收稿日期:2016-04-01)
(本文编辑:边 佶)
更新日期/Last Update: 2016-12-15