|本期目录/Table of Contents|

[1]杨建军,宋雪丹,陈海英,等.血管内支架成形术治疗颅内血管狭窄 临床分析[J].医学研究与战创伤救治(原医学研究生学报),2009,11(02):112-114.
　YANG Jian-jun,SONG Xue-dan,CHEN Hai-ying,et al.Endovascular stent-assisted angioplasty for intracranial atherosclerotic stenosis[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2009,11(02):112-114.
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血管内支架成形术治疗颅内血管狭窄 临床分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第11卷
期数:
2009年02期
页码:
112-114
栏目:
出版日期:
2009-03-20

文章信息/Info

Title:
Endovascular stent-assisted angioplasty for intracranial atherosclerotic stenosis
文章编号:
1672-271X(2009)02-0112-03
作者:
杨建军; 宋雪丹; 陈海英; 周立群
解放军113医院神经外科，浙江宁波 315040
Author(s):
YANG Jian-jun; SONG Xue-dan; CHEN Hai-ying; ZHOU Li-qun
Department of Neurosurgery,the 113th Hospital of PLA,Ningbo 315040,Zhejiang,China
关键词:
支架; 血管成形术; 脑血管狭窄
Keywords:
Stents; Angioplasty; Cerebral stenosis
分类号:
R651.1+2
DOI:
-
文献标志码:
A
摘要:
目的 评价血管内支架成形术治疗颅内血管狭窄的安全性和有效性。方法 对19例颅内血管狭窄的患者行球囊膨胀型支架成形术，治疗短暂性脑缺血发作(TIAs)或脑梗死后恢复良好的患者。结果 支架均一次成功植入，植入过程中2例术中出血，1例于术后第2天因脑疝死亡，另1例恢复良好。平均狭窄程度从术前的75.2%减少到术后的9.6%。18例患者临床随访3～28个月，无缺血性中风发生，4例出现术后再狭窄。结论 血管内支架成形术治疗颅内血管狭窄是有效和安全的。
Abstract:
Objective To assess the feasibility and safety of endovascular stented-assisted angioplasty for intracranial stenosis.Methods Nineteen patients who well recovered from recurrent transient ischemic attack were treated with endovascular angioplasty using balloon-expandable stent.Results Technical success was achieved in all patients. Two patients had subachanoid hemorrhage because of perforation by microwire，one patient died of brain hernia in two days ，another recovered well. Angiographic examination immediately after stent implantation revealed that the stenosis rate was significantly reduced (75.2% vs 9.6%). There was no cerebral ischenmic attack in the 18 patients who were clinically followed up(3 to 28 months)，restenosis inside the stent was observed in four patients. Conclusion Angioplasty and stent implantation for the treatment of intracranial stenosis is safe and effective.

参考文献/References:

[1]马锐华. 缺血性脑血管病的颅内血管支架治疗[J]. 中国全科医学，2004，7(2):76-77.
[2]刘建民，洪波，黄清海，等.支架成形术治疗颅内血管狭窄的安全性及短期疗效分析[J]. 中华外科杂志，2004，42(2):169-172.
[3]Moris T，Kazita K，Chokyu K，et al. Short-term artriographic and clinical outcome after cerebral angioplasty and stenting for intracranial vertebrobasilar and carotid atherosclerotic occlus- ive disease[J]. Am J Neuroradiol，2000，21(2):249-254.
[4]Alazzaz A，Thornton J，Aletich VA，et al.Intracranial percuta- neous transluminal angioplasty for arteriosclerotic stenosis[J]. Arch Neurol，2000，57(11):1625-1630.
[5]Caputo RP，Chafizadeh ER，Stoler RC，et al. Stent jail；a min- imum security prison[J]. Am J Cardiol，1996，77(4):1226-1230.
[6]Bhatia V，Bhatia R，Dhindsa M. Drug-eluting stents:new era and new concerns[J].Postgrad Med J，2004，80(939):13-18.
[7]Fiorella D,Levy EI,Turk AS,et al.US multicenter experience with the wingspan stent system for the treatment of intracra- nial atheromatous disease:periprocedural results[J].Stroke,2007,38(3):881-887.
[8]Freitas JW,Zenteno M,Aburto MY,et al.Intracranial arterial stenting for symptomatic stenoses:a Latin American experience[J].Surg Neurol,2007,68(4):378-386.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2013-11-20