摘要
目的探讨药物洗脱支架辅助血管成形术治疗症状性椎动脉开口狭窄的手术安全性及近期疗效。方法从2004年6月至2008年6月,采用药物洗脱支架对24例因椎动脉开口狭窄引发脑卒中或短暂性脑缺血发作的患者行血管成形术,并分析患者影像学资料、围手术期并发症和临床随访结果。结果所有患者手术均成功,术后狭窄明显改善,平均随访时间(19±2)个月,2例有轻度的支架内再狭窄。结论药物洗脱支架治疗症状性椎动脉开口狭窄安全、可行,短期疗效满意。
Objective To investigate the safety,early and mid-term outcomes of drug-eluting stent-assisted angioplasty in treating symptomatic vertebral artery origin stenosis.Methods From June 2004 to June 2008 a total of 24 patients with stroke or transient ischemic attack(TIA) due to vertebral artery(VA) origin atherosclerotic stenosis received drug-eluting stent-assisted angioplasty.Patient records were reviewed for angiographic findings,peri-procedural complications,and follow-up data.Results The procedures were technically successful for all patients and the stenoses were greatly improved.All patients were available for follow-up for(19 ± 2) months.Two patients developed mild in-stent restenosis.Conclusion Our finding confirms that drug eluting stent-assisted angioplasty is feasible and safe for treating symptomatic vertebral artery origin stenosis,with satisfactory early outcome.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
2012年第8期893-896,共4页
Academic Journal of Second Military Medical University
关键词
脑缺血
椎动脉
血管成形术
支架
brain ischemia
vertebral artery
angioplasty
stents
作者简介
卢海涛,博士,主治医师.E-mail:luhai_tao@sina.com
通信作者(Corresponding author).Tel:02131161794,E—mail:liu118@vip.163.com