血管内支架治疗缺血性脑血管病的19例体会

摘要

Objective To summarize the efficacy and experience of endovascular stenting for treating ischemic cerebral vascular disease. Methods Retrospective analysis of 19 cases of ischemic cerebral vascular disease endovascular stent implantation in the treatment of data. Results Postoperative DSA demonstrated that, the successful rate of the operation was 100%, postperatively residuai internal carotid stenoses in all patients were less than 20%, 1 case occurred carotid sinus reactions, vascular spasm in 2 case, while 1 case occurred hyperperfusion syndrome(HS), 7 patients with internal carotid arteries was all used with angioguard, 2 angioguards in which we found fragments. 2 cases occurred pseudoaneurysm. 19 patients were followed-up for 6-24 months after operation, in whom no any recurrence of cerebral in faretion was found. Conclusion Endovascular stent angioplasty is a safe and effective means for treating internal carotid stenosis. Elevating the operator’s skill and enhancing the perioperative surveillance can greatly reduce the complication and mortality.%　　目的总结血管内支架治疗缺血性脑血管病的体会。方法回顾分析19例缺血性脑血管病血管内支架治疗的资料。结果术后DSA证实：手术成功率100%，治疗后残余狭窄率低于20%。1例颈动脉窦反应，2例血管痉挛，1例出现高灌注综合征，7例颈内动脉支架均使用脑保护装置，2例术后保护装置内有脱落物，2例术后出现假性动脉瘤。19例随访6～24个月，无1例再发脑梗塞。结论血管内支架成形术是一种治疗缺血性脑血管病安全有效的方法，提高术者操作技巧及加强围手术期监护可以大大降低手术并发症和病死率。