摘要
目的探讨伴有不稳定斑块的重度颈动脉狭窄的治疗方法。方法分析1例重度颈动脉狭窄患者的临床、影像资料。结果本例患者主要表现为反复发作的右上肢无力,数字减影血管造影(DSA)检查提示左侧颈内动脉开口重度狭窄并伴不稳定斑块;在远端脑保护装置下行颈动脉支架成形术(CAS)后,患者症状消失。结论对于重度颈动脉狭窄患者,需结合实际情况,选择出最佳的手术方式;手术技巧、熟练程度等是保证支架成形术疗效的关键。
Objective To investigate the manage of the severe carotid stenosis with unstable plaques.Method We analyzed the clinical and imaging data of 1 case of severe carotid stenosis.Results The patient was mainly characterized by recurrent weakness of his right upper limb.The severe origin stenosis of left internal carotid artery and unstable plaques were found in digital subtraction angiography(DSA).The patient were treated in carotid artery stenting under the embolic protection devices,then the clinical symptoms of patient were disappeared.Conclusion We should choose the best operation plan to manage the patients with severe carotid stenosis based on the actual situation.Technique and skill is essential to the success of the operation.
作者
宋丹丹
王晴晴
郭起峰
刘建国
王雨瑶
邱峰
戚晓昆
Song Dandan;Wang Qingqing;Guo Qifeng;Liu Jianguo;Wang Yuyao;Qiu Feng;Qi Xiaokun(Department of Neurology,the Navy General Hospital,Beijing 100048,China)
出处
《脑与神经疾病杂志》
2018年第5期284-287,共4页
Journal of Brain and Nervous Diseases
关键词
颈动脉狭窄
支架
介入治疗
不稳定斑块
Carotid stenosis
Stenting
Interventional therapy
Unstable plaques
