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血管内支架成形术治疗大脑中动脉M1段狭窄初探
引用本文:席刚明,董君立,岳炫烨,秦碧勇,张迎春,鲍玉华,庄凤娟,钟森,尚娥.血管内支架成形术治疗大脑中动脉M1段狭窄初探[J].西南科技大学学报(哲学社会科学版),2007,5(3):42-44.
作者姓名:席刚明  董君立  岳炫烨  秦碧勇  张迎春  鲍玉华  庄凤娟  钟森  尚娥
作者单位:郧阳医学院附属人民医院神经内科十堰市老年病研究所 442000
摘    要:目的本研究的目的是评价血管内支架成形术治疗大脑中动脉狭窄的可行性、安全性和有效性。方法对2004年11月至2007年1月期间纳入研究的18名患者回顾分析其成功率、并发症和术后1年成活数。结果18例患者中手术成功18例(100%)。患者术后血管造影显示血管恢复良好。随访15例患者症状缓解或完全治愈。10例患者血管造影复查无支架内再狭窄。结论血管内支架成形术治疗大脑中动脉狭窄是可行的、有效的,能有效减轻患者临床症状和明显改善患者脑血流情况。

关 键 词:大脑中动脉  狭窄  支架成型术

Study the feasibility safety and effectiveness of stent placement for MCA stenosis
XI Gangming,DONG Lijun,YUE Xuanye,QIN Biyong,ZHANG Yingchun,BAO Yuhua,ZHUANG Fengjuan,ZHONG Sen,SHANG E.Study the feasibility safety and effectiveness of stent placement for MCA stenosis[J].Journal of Southwest University of Science and Technology,2007,5(3):42-44.
Authors:XI Gangming  DONG Lijun  YUE Xuanye  QIN Biyong  ZHANG Yingchun  BAO Yuhua  ZHUANG Fengjuan  ZHONG Sen  SHANG E
Abstract:Objective To assess the feasibility, safety and effectiveness of stent placement for MCA stenosis. Methods Between November 2004 and January 2007, we performed stent placement for MCA stenosis (more than 70%) in 18 patients and retrospectively analyzed the technical success rate, complications and outcomes over 1 year. Results Stent placement was technically successful in 18 (100%) patients. In 18 patients, post procedural angiography showed restoration of the normal luminal diameter. Fifteen patients experienced symptomatic relief or were stable at follow-up. Angiographic follow-up (n = 10) revealed no in-stent restenosis. Conclusion Stent placement for symptomatic MCA stenosis was technically feasible and effective in alleviating symptoms and improving cerebral blood flow.
Keywords:Middle Cerebral Artery  Stenosis  Endovascular Stent-Assisted Angioplasty
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