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Apollo支架治疗颅内椎基底动脉狭窄的初步临床研究
  • ISSN号:1004-0501
  • 期刊名称:《四川医学》
  • 时间:0
  • 分类:R651.12[医药卫生—临床医学;医药卫生—外科学]
  • 作者机构:[1]成都军区总医院神经外科,四川成都610083
  • 相关基金:国家自然科学基金资助项目(编号:30700255)
中文摘要:

目的探讨和总结Apollo支架治疗颅内椎基底动脉狭窄的技术及疗效。方法对12例颅内椎基底动脉狭窄者使用Apollo支架行支架成形术治疗,其中椎动脉颅内段狭窄7例,基底动脉狭窄5例,病变狭窄程度均〉70%,狭窄长度2-15mm。结果12例全部技术成功,共放置支架14枚,病变残余狭窄≤20%。在围手术期内无严重并发症发生。术后临床短期随访3-10个月,临床症状消失10例,明显改善2例,全部患者无脑缺血性事件发生;其中DSA随访5例无支架狭窄。结论运用Apollo支架治疗颅内椎基底动脉狭窄是一种安全有效的方法,但其长期疗效仍需进一步观察。

英文摘要:

Objective To insvestigate and summarize the technique and efficacy of angioplasty with Apollo stent for the treatment of intracranial vertebrobasilar arterial stenosis. Methods Twelve cases of intracranial vertebrobasilar arterial stenosis received angioplasty and stenting with Apollo stent. The locations of stenoses were intracranial segment of vertebral artery in 7 and basilar artery in 5. All stenoses were more than 70% in diameter, with 2 - 15mm in length. Results The treatment succeeded in all 12 cases 14 sents were successfully implanted, without any serious complication. All the residual degrees of stenosis after stenting were less than 20%. Clinical symptoms disappeared in 10 patients, relieved in 2 patients. There were no symptom related to thrombosis occurred during clinic short-up for 3 to 10 months after stenting. Follow-up angiogram in 5 eases showed no stenosis in segment of the stentt. Conclusion Angioplasty and stenting with Apollo stent are safe and effective for treating intracranial ver- tebrobasilar stenosis. The long term outcome sill needs to be investigated further.

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期刊信息
  • 《四川医学》
  • 中国科技核心期刊
  • 主管单位:四川省卫生厅
  • 主办单位:四川省医学会
  • 主编:沈骥
  • 地址:成都市武侯区玉林南街2号附3号
  • 邮编:610041
  • 邮箱:
  • 电话:028-86136765
  • 国际标准刊号:ISSN:1004-0501
  • 国内统一刊号:ISSN:51-1144/R
  • 邮发代号:62-103
  • 获奖情况:
  • 四川省优秀期刊,加入核心期刊
  • 国内外数据库收录:
  • 美国化学文摘(网络版),中国中国科技核心期刊
  • 被引量:35644