[1]高永亮,刘晓楠,张启文,等.颈动脉支架成形术治疗颈动脉蹼的安全性及疗效观察 [J].介入放射学杂志,2019,28(01):69-72.
 GAO Yongliang,LIU Xiaonan,ZHANG Qiwen,et al.Carotid artery stenting for the treatment of carotid web: observation of its safety and efficacy[J].journal interventional radiology,2019,28(01):69-72.
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颈动脉支架成形术治疗颈动脉蹼的安全性及疗效观察
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年01期
页码:
69-72
栏目:
临床研究
出版日期:
2019-01-25

文章信息/Info

Title:
Carotid artery stenting for the treatment of carotid web: observation of its safety and efficacy
作者:
高永亮 刘晓楠 张启文 杨明亮 高连波
Author(s):
GAO Yongliang LIU Xiaonan ZHANG Qiwen YANG Mingliang GAO Lianbo.
Department of Neurology, Fourth Affiliated Hospital, China Medical University, Shenyang, Liaoning Province 110032, China
关键词:
【关键词】 颈动脉支架成形术 颈动脉蹼 脑卒中 全脑血管数字减影造影术
文献标志码:
A
摘要:
【摘要】 目的 探讨颈动脉支架成形术治疗颈动脉蹼的安全性及疗效观察。方法 以2014年1月至2016年10月收治的28例患有颈动脉蹼患者作为研究对象,并给予颈动脉支架成形术。术后随访12个月,观察血管事件[颈内动脉短暂性脑缺血发作(TIA)、新发脑梗死、心肌梗死]及死亡的发生率。结果28例患者均成功植入自膨支架,手术成功率100%。术前狭窄率50%~70%,平均(60.0±6.9)%。术后狭窄率0~20%,平均4.6%。其中2例(7.14%)患者术中出现颈动脉窦迷走反射,引起血压下降及心率减慢。无其他手术并发症。术后随访12个月,无颈内动脉TIA、新发脑梗死、心肌梗死等血管事件的发生。无患者死亡。术后12个月随访时复查头颈部CTA。所有患者住院期间及随访期间均未发现责任血管颈动脉蹼的发生。结论 颈动脉支架成形术治疗颈动脉蹼安全、有效,围手术期并发症发生率低,短期效果显著。

参考文献/References:

[1] Kim D, Lee SH, Joon Kim B, et al. Secondary prevention by stroke subtype: a nationwide follow- up study in 46 108 patients after acute ischaemic stroke[J]. Eur Heart J, 2013, 34: 2760- 2767.
[2] Joux J, Chausson N, Jeannin S, et al. Carotid- bulb atypical fibromuscular dysplasia in young Afro- Caribbean patients with stroke[J]. Stroke, 2014, 45: 3711- 3713.
[3] Choi PM, Singh D, Trivedi A, et al. Carotid webs and recurrent ischemic strokes in the era of CT angiography[J]. AJNR Am J Neuroradiol, 2015, 36: 2134- 2139.
[4] Lenck S, Labeyrie MA, Saint- Maurice JP, et al. Diaphragms of the carotid and vertebral arteries: an under- diagnosed cause of ischaemic stroke[J]. Eur J Neurol, 2014, 21: 586- 593.
[5] Elmokadem AH, Ansari SA, Sangha R, et al. Neurointerventional management of carotid webs associated with recurrent and acute cerebral ischemic syndromes[J]. Interv Neuroradiol, 2016, 22: 432- 437.
[6] Samuels OB, Joseph GJ, Lynn MJ, et al. A standardized method for measuring intracranial arterial stenosis[J]. AJNR Am J Neuroradiol, 2000, 21: 643- 646.
[7] Compagne KCJ, van Es ACGM, Berkhemer OA, et al. Prevalence of carotid web in patients with acute intracranial stroke due to intracranial large vessel occlusion[J]. Radiology, 2018, 286: 1000- 1007.
[8] Perren F, Urbano L, Rossetti AO, et al. Ultrasound image of a single symptomatic carotid stenosis disclosed as fibromuscular dysplasia[J]. Neurology, 2004, 62: 1023- 1024.

相似文献/References:

[1]隗立兵,王春梅,黄 莹,等.颈动脉支架成形术后持续性低血压危险因素分析 [J].介入放射学杂志,2016,(08):651.
 WEI Li-bing,WANG Chun-mei,HUANG Ying,et al.Analysis of the risk factors related to the persistent hypotension occurring after carotid angioplasty and stenting [J].journal interventional radiology,2016,(01):651.

备注/Memo

备注/Memo:
(收稿日期:2018-01-30)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2019-01-21