支架成形术治疗症状性椎动脉开口狭窄

【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；

【机构】 温州市第二人民医院神经外科脑血管病介入诊治中心；

【摘要】 目的研究支架成性术治疗症状性椎动脉开口狭窄的效果及安全性。方法对28例症状性椎动脉开口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支架,无一例发生严重并发症。结果术后见狭窄程度明显改善。所有患者均有临床随访,症状改善,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开口狭窄的安全、有效的方法,其长期的效果还需要进一步随访研究。更多还原

【Abstract】 Objective To study the safety and efficiency of transluminal stenting for the symptomatic vertebral origin stenosis.Methods Balloon-expandable stent was performed in 28 cases with the symptomatic vertebral origin stensis.Results Primary stenting were technically successful in all case,the degree of stenosis was significantly deceased.All patients were followed up,and clinical symptoms were improved.Angiogram were taken in 6 cases, 1 case was restenosis about 50%,others were no restenosis.Conclusion Endovascular stenting for the treatment of the symptomatic vertebral origin stenosis is safe and effectve,and long term clinical and angiographic needs further investigation.更多还原