摘要
目的评估急诊血管支架成形术治疗急性大脑中动脉闭塞的可行性、有效性及安全性。方法回顾分析2008年8月至2011年5月收治的12例行急诊支架开通术的急性大脑中动脉闭塞患者。在支架植入术后对再通结果进行TIMI评分,并对术中及术后并发症、治疗前后的神经功能进行评估。术后3个月进行随访。结果 12例患者在大脑中动脉支架植入术后随即进行DSA造影,结果显示血流均达到部分或完全再通(TIMI:2和3)。1例患者在术后当天因大脑中动脉再次闭塞而死亡。随访中9例患者预后较好(mRS:0～2),2例患者预后欠佳。术后CTA及MRA随访显示11例患者中有2例血管再发轻度狭窄。结论急诊行血管支架成形术治疗急性大脑中动脉闭塞可行,有较高再通率,且安全有效。
Objective To evaluate the feasibility, efficacy and safety of emergency angioplasty and stent placement in treating acute middle cerebral artery（MCA） occlusion. Methods During the period from Aug. 2008 to May 2011, a total of 12 patients with acute MCA occlusion were admitted to authors＇ hospital. Emergency angioplasty and stent placement were carried out to reopen the obstructed arteries in all the patients. Immediately after stent implantation, the recanalization result was evaluated by angiography and thrombolysis in myocardial infarction （TIMI） score. Procedure-related complications occurred during and after the interventional management were documented. The neurologic function was assessed before and after the treatment. All the patients were followed up at three months after the procedure. Results All the 12 patients were successfully treated with emergency angioplasty and stent placement. DSA performed immediately after MCA stenting showed that complete or partial recanalization （TIMI 2 and 3） was achieved in all patients. One patient died due to re- occlusion of MCA in the operation day. During the follow-up period, nine patients showed a good outcome （mRS 0 to 2）, two patients showed signs of moderate outcome （mRS 3）. Follow-up CTA and MRA revealed mild restenosis in two among the eleven successful cases. Conclusion For the treatment of acute MCA occlusion, emergency angioplasty together with stenting is feasible, safe and effective with higher recanalization rate.（J Intervent Radiol, 2012, 21： 802-805）
出处
《介入放射学杂志》
CSCD
北大核心
2012年第10期802-805,共4页
Journal of Interventional Radiology
