症状性非急性大脑中动脉闭塞血管再通治疗研究

目的 总结症状性非急性大脑中动脉闭塞血管再通治疗的可行性、有效性和安全性.方法 纳入2019年1-12月行血管再通治疗的8例非急性大脑中动脉闭塞患者,记录血管再通成功率、围手术期并发症、预后和支架内再狭窄情况.结果 8例患者中7例血管再通成功,1例失败.其中4例发生围手术期并发症,包括症状性颅内出血(2例)、短暂性脑缺血发作(1例)和支架内血栓形成(1例).术后7和30 d改良Rankin量表评分0～2分6例、3分1例、4分1例.术后4个月1例发生支架内再狭窄.结论 症状性非急性大脑中动脉闭塞患者,药物治疗效果欠佳时可考虑血管再通治疗,但该项技术复杂,围手术期并发症发生率较高....

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Published in中国现代神经疾病杂志 Vol. 20; no. 6; pp. 512 - 518
Main Authors 李修珍, 闫文涛, 郭姗, 张振海, 张晓枫, 刘爱华, 刘加春
Format Journal Article
LanguageChinese
Published 100093北京,首都医科大学三博脑科医院神经介入科%100070 首都医科大学附属北京天坛医院神经介入中心国家神经系统疾病临床医学研究中心 25.06.2020
Subjects
大脑中动脉
手术中并发症
支架
血管成形术
动脉闭塞性疾病
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ISSN1672-6731
DOI10.3969/j.issn.1672-6731.2020.06.008

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Abstract 目的 总结症状性非急性大脑中动脉闭塞血管再通治疗的可行性、有效性和安全性.方法 纳入2019年1-12月行血管再通治疗的8例非急性大脑中动脉闭塞患者,记录血管再通成功率、围手术期并发症、预后和支架内再狭窄情况.结果 8例患者中7例血管再通成功,1例失败.其中4例发生围手术期并发症,包括症状性颅内出血(2例)、短暂性脑缺血发作(1例)和支架内血栓形成(1例).术后7和30 d改良Rankin量表评分0～2分6例、3分1例、4分1例.术后4个月1例发生支架内再狭窄.结论 症状性非急性大脑中动脉闭塞患者,药物治疗效果欠佳时可考虑血管再通治疗,但该项技术复杂,围手术期并发症发生率较高.
AbstractList 目的 总结症状性非急性大脑中动脉闭塞血管再通治疗的可行性、有效性和安全性.方法 纳入2019年1-12月行血管再通治疗的8例非急性大脑中动脉闭塞患者,记录血管再通成功率、围手术期并发症、预后和支架内再狭窄情况.结果 8例患者中7例血管再通成功,1例失败.其中4例发生围手术期并发症,包括症状性颅内出血(2例)、短暂性脑缺血发作(1例)和支架内血栓形成(1例).术后7和30 d改良Rankin量表评分0～2分6例、3分1例、4分1例.术后4个月1例发生支架内再狭窄.结论 症状性非急性大脑中动脉闭塞患者,药物治疗效果欠佳时可考虑血管再通治疗,但该项技术复杂,围手术期并发症发生率较高.
Author 李修珍
闫文涛
刘加春
刘爱华
张振海
张晓枫
郭姗
AuthorAffiliation 100093北京,首都医科大学三博脑科医院神经介入科%100070 首都医科大学附属北京天坛医院神经介入中心国家神经系统疾病临床医学研究中心
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ZHANG Xiao-feng
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YAN Wen-tao
ZHANG Zhen-hai
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Keywords 大脑中动脉
手术中并发症
支架
血管成形术
动脉闭塞性疾病
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