血管内支架成形术治疗症状性椎动脉狭窄

被引：7

作者：

严永兴 ^{[1
]}

袁艳蓉 ^{[1
]}

梁丽贞 ^{[1
]}

陈涛 ^{[1
]}

沈咏慧 ^{[1
]}

钟长扬 ^{[1
]}

朱双根 ^{[2
]}

机构：

[1] 浙江省杭州市第三人民医院神经内科

[2] 安徽省合肥市第一人民医院神经内科

来源：

中华全科医学 | 2014年 / 12卷 / 02期

关键词：

支架成形术; 椎动脉狭窄; 症状性; 并发症; 治疗; 随访;

D O I：

10.16766/j.cnki.issn.1674-4152.2014.02.058

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

100204 [神经病学];

摘要：

目的探讨血管内支架成形术治疗老年症状性椎动脉狭窄患者的长期疗效。方法对22例经药物治疗无效的老年症状性椎动脉狭窄患者行血管内支架成形术治疗,分析其技术成功率、围手术期并发症发生率及远期疗效。结果 22例患者共植入24枚球囊扩张式支架,技术成功率达100%,平均狭窄率从(82.5±9.2)%降至(3.7±3.5)%(P<0.01),围手术期内无严重并发症发生,临床随访27～58个月(平均42.6个月),2例患者出现症状复发,1例患者新发无症状小梗死,其余患者无脑缺血性事件发生,效果良好。结论血管内支架成形术是治疗老年症状性椎动脉狭窄的一种安全、有效的方法,远期疗效良好。

引用

收藏

页码：183 / 185

页数：3

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