摘要
目的探讨血管内支架成形术治疗颅内动脉狭窄的短期效果、适应证、并发症及解决的办法。方法回顾性分析12例颅内动脉狭窄病例的临床资料。结果1例病人第1次手术时因支架过大,放置失败,第2次选择合适支架,放置成功;另11例1次成功;血管狭窄程度降至0~10%。临床随访2~18个月,11例术前症状消失,1例改善;4例复查DSA,无一例再狭窄发生。结论血管内支架成形术是颅内动脉狭窄安全、有效的治疗方法,长期效果有待进一步临床观察。
Objective To study the short-term result, indication, and the way to solve the complications of endovascular stent for treatment of intracranial arterial stenosis. Methods Twelve patients with intracranial arterial stenosis were reviewed. Results The first placement was failed in one patient for the size of stent was excessive. The patient was treated successfully by suitable stent. Successful placement was achieved in other patients. The stenosis level was reduced to 0-10% after stent-assisted angioplasty. Preoperative symptom was disappeared in three patients and was ameliorated in one patient during clinical follow up for 2-18 months after treatment. No restenosis was found. Conclusion Endovascular stent-assisted angioplasty is a safe and effective method for treatment of intracranial arterial stenosis. It needs further practice and long-term follow-up study.
出处
《中国微侵袭神经外科杂志》
CAS
2004年第5期210-212,共3页
Chinese Journal of Minimally Invasive Neurosurgery