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症状性椎动脉起始部狭窄支架植入成形术

Endovascular Stenting for Treatment of Symptomatic Vertebral Artery Origin Stenoses

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【作者】 孙军陈茂华陆川陈献东蔡建勇巴华君林建虎林震旦肖达荣何学雄

【Author】 SUM Jun,CHEN Mao-hua,LU Chuan,et al.Department of Neurosurgery,Wenzhou Second People’s Hospital,Wenzhou Zhejiang 325000,China.

【机构】 温州市第二人民医院神经外科

【摘要】 目的研究支架成形术治疗症状性椎动脉起始部狭窄的效果及安全性。方法对28例症状性椎动脉起始部狭窄的患者行腔内支架成形术治疗。28例患者均成功地植入球囊扩张式支架,无1例发生严重并发症。结果术后患者动脉狭窄程度均明显改善,症状均得到改善。6例患者获得脑血管造影随访,其中1例出现约50%的再狭窄。结论支架成形术是治疗症状性椎动脉起始部狭窄的安全、有效的方法,其长期的效果还需要进一步随访研究。

【Abstract】 Objective To study the curative effect of transluminal stenting on the symptomatic vertebral artery origin stenoses and its safety.Methods Transluminal angioplasty with balloon-expansible stent was performed in 28 patients with the symptomatic vertebral origin artery stenoses.Results The balloon-expansible stents were successfully placed in all the patients,in whom the degree of stenosis and clinical symptoms were significantly improved.No severe complications occurred in all the cases.Of 6 patients followed up by cerebral angiography.1 suffered from vertebral artery origin restenosis about 50%and 5 did not.Conclusion Endovascular stenting for the treatment of the symptomatic vertebral artery origin stenoses is safe and effective,but the long-term curative effect of endovascular stenting on the symptomatic vertebral artery origin stenoses should be further observed.

【关键词】 椎动脉狭窄支架成形术脑血管造影
【Key words】 Vertebral arteryStenosisStentAngioplasty
【基金】 温州市科技发展计划项目(S2002A146)
  • 【文献出处】 中国临床神经外科杂志 ,Chinese Journal of Clinical Neurosurgery , 编辑部邮箱 ,2009年07期
  • 【分类号】R743.3
  • 【被引频次】2
  • 【下载频次】110
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