经皮血管内支架植入治疗锁骨下动脉盗血综合征的临床疗效

摘要

Objective To evaluate the short-term and long-term clinical efficacy of per-cutaneous endovascular stent implantation in the treatment of subclavian artery steal blood syndrome (SSS).Methods A total of 28 SSS patients treated in our hospital from January 2010 to January 2012 were selected and given percutaneous endovascular stent implantation as well as transcranial doppler ultrasound (TCD),carotid duplex ultrasound (CDU)and digital subtraction angiography (DSA)before and after treatment.Follow-up was ended in January 2014 to observe the short-term and long-term clinical efficacy.Results Postoperative TCD,CDU and DSA showed positive blood flow in vertebral and basilar arteries and improved clinical symptoms in SSS patients.Only 3 patients were with relevant complications and 2 with recurrence ones at the end of follow-up.Con-clusion Percutaneous endovascular stent implantation is effective and safe in treating SSS with TCD and CDU as its routine therapies for follow-up clinic.%目的：评估经皮血管内支架植入术治疗锁骨下动脉盗血综合征（SSS）的近期和远期临床疗效。方法选取2010年1月-2012年1月在本院就诊的28例 SSS 患者为研究对象，所有患者均行经皮血管内支架植入术，术前及术后均行经颅多普勒超声检查（TCD）、颈部血管彩超（CDU）及脑血管造影（DSA）检查。随访至2014年1月，观察近期及远期临床疗效。结果术后 TCD、CDU 和 DSA 检查显示，患者椎动脉及基底动脉均为正向血流，临床表现为显著改善，仅3例出现相关并发症，至随访结束时，仅2例出现症状复发。结论经皮血管内支架植入术治疗 SSS 有效、安全，且 TCD、CDU 可作为随诊常规手段。