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脑保护技术在1328例颈动脉狭窄患者支架成形术中的应用 被引量:5

Clinical application of carotid angioplasty with stenting using cerebral protection technology:report of 1 328 cases
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摘要 目的观察脑保护下颈动脉狭窄支架成形术的临床疗效和安全性。方法回顾性分析2003年4月至2010年6月1 328例脑保护下行支架成形术治疗颈动脉狭窄患者的临床资料,分析手术的安全性和有效性。结果 1 328例患者均顺利将脑保护装置于颈动脉入颅处,患者治疗前颈动脉的狭窄率为(88.2±6.7)%,治疗后为(19.2±11.1)%,治疗后颈动脉狭窄明显减轻(P<0.01)。其中768例患者进行了平均1年随访,无1例死亡、缺血性脑卒中发生。结论脑保护下行颈动脉狭窄支架成形术治疗颈动脉狭窄、预防缺血性脑卒中安全、有效。 Objective To observe the clinical efficacy and safety of cerebral protection devices and stent angioplasty in the treatment of patients with carotid artery stenosis. Methods The clinical data of 1 328 patients with carotid stenosis treated with cerebral protection devices and stent angioplasty in the departments of cardiology and neurology from 4 different hospitals from April 2003 to June 2010 were analyzed retrospectively. The safety and efficacy of the operation was analyzed. Results Cerebral protection devices were smoothly implanted into the skull of these 1 328 cases through carotid artery. The average carotid artery stenosis rate was decreased from (88. 2 _+ 6. 7)% before treatment to (19. 2 ±11. 1 )% after treatment, with significant difference (P 〈0. 01 ). There were 768 patients who were followed up for average 1 year. During the period, no one case was died, nor ischemic stroke occurred. Conclusion Cerebral protection devices and stent angioplasty is safe and efficient in the treatment of carotid artery stenosis and prevention of ischemic stroke.
出处 《第三军医大学学报》 CAS CSCD 北大核心 2013年第6期562-564,共3页 Journal of Third Military Medical University
关键词 颈动脉狭窄 脑保护装置 支架 成形术 carotid artery stenosis cerebral protection device stent angioplasty
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  • 1White H, Boden-Albala B,Wang C,et al. Ischemic stroke subtype in-cidence among whites,blacks,and Hispanics : the Northern ManhattanStudy[ J]. Circulation, 2005,111(10) : 1327 -1331.
  • 2DeBakey M E. Carotid endarterectomy revisited[ J]. J Endovasc Surg,1996, 3(1): 4.
  • 3North American Symptomatic Carotid Endarterectomy Trial Collabora-tors. Beneficial effect of carotid endarterectomy in symptomatic patientsand high-grade carotid stenoses[ J]. N Engl J Med, 1991,325 (7):445 -453.
  • 4Executive Committee for the Asymptomatic Carotid AtherosclerosisStudy. Endarterectomy for asymptomatic carotid artery stenosis [ J ].JAMA, 1995, 273(18): 1421 -1428.
  • 5Randomized trial of endarterectomy for recently symptomatic carotid ste-nosis :final results of the MRC European carotid surgery trial ( ECST)[J]. Lancet, 1998, 351(9113) : 1379 -1387.
  • 6Yadav J S, Wholey M H, Kuntz R E, ef al. Protected carotid-arterystenting versus endarterectomy in high-risk patients [ J ]. N Engl JMed, 2004,351(15) : 1493 -1501.
  • 7Brott T G, Hobson R W 2nd, Howard G, et al. Stenting versus endar-terectomy for treatment of carotid-artery stenosis [ J ]. N Engl J Med,2010, 363(1): 11 -23.
  • 8Al-Mubarak N, Roubin G S, Vitek J J, et al. Microembolization dur-ing carotid stenting with the distal-balloon antiemboli system[ J]. IntAngiol, 2002, 21(4) : 344 -348.
  • 9Angelini A,Reimers B, Della-Barbera M,et al. Cebebral protectionduring carotid artery stenting : collection and histopathologic analysis ofembolized debris[J]. Stroke, 2002, 33(2) : 456 -461.
  • 10黄志志,梁柯,陈康宁.脑保护装置在颈动脉支架成形术中的应用[J].第三军医大学学报,2012,34(15):1586-1589. 被引量:2

二级参考文献9

  • 1Akar-Bayram N, Bozkurt E, Ayhan H, e! al. Early outcomes of carotid artery stenting[ J]. Perfusion, 2012, 27(2) : 146 -149.
  • 2Sakai N, Sakai C. Catheter imervenlion for carotid and eerebrovascular diseases[J]. Nihon Rinsho, 2011, 69(2): 301 -306.
  • 3I.in P H, Zhou, Kougias P, et al. Factors associated with hypolen- sion and bradvcardia afler carotid angioptasty and stenting[ J ]. J VaseSurg. 2007, 46(5) : 846 -853.
  • 4Castellan L, Causin F. Danieli D, et al. Carotid stenting with filter protection. Correlation of ACT values with angiographic and histopatho- logic findings[J]. J Neuroradiol, 2003, 30(2): 103 -108.
  • 5Goodney P P, Schermerhorn M L. Pwell R J. Cunent status of cartid arie stenllng[J].Last Surg, 2006, 43(2) : 406 -411.
  • 6Cremonesi A, Manetti R, Liso A, et al. Endovascular treatment of soft carotid plaques: a single-center carotid stent experience[ J ]. J Endo- vasc Ther, 2006, 13(2) : 190 - 195.
  • 7蒋世杰,舒亚梅,李琳琳,帅杰.血管内支架成形术治疗颈动脉狭窄疗效评价[J].第三军医大学学报,2008,30(16):1581-1582. 被引量:1
  • 8杨建豪,刘亚杰,卓文燕.使用滤网保护系统和自膨胀支架治疗颈动脉狭窄的临床研究[J].中国现代医生,2008,46(22):32-33. 被引量:2
  • 9杜万良,栾璟煜,王春育,陈盼,李姝雅,张倩,袁怀武,朱先进,周娟,李晓蕾,郑博文,杨晓萌,冯皓,徐莹鑫,石玉芝,魏玉桢,韩利坤,孙莉,孙娆,段婉莹,王琳,李朝霞,马佳,邰宏飞,赵萍,石庆丽,谭颖,张瑞云,冷昕祎,黄上萌,刘萍,邱彩霞,杨华俊,孙小英,王玮婧,佟梦琦,黄曦妍,李理,张蓉.美国缺血性卒中及短暂性脑缺血发作患者卒中预防指南[J].中国卒中杂志,2011,6(1):53-86. 被引量:47

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