[1]孙文华 樊翊凌 丁圣豪 赵 兵 潘耀华 万杰清.亚急性、慢性椎-基底动脉闭塞的血管内再通治疗分析[J].中国临床神经外科杂志,2017,(08):545-548.[doi:10.13798/j.issn.1009-153X.2017.08.007]
 SUN Wen-hua,FAN Yi-ling,DING Sheng-hao,et al.Curative effects of endovascular recanalization on subacute and chronic vertebrobasilar artery occlusion[J].,2017,(08):545-548.[doi:10.13798/j.issn.1009-153X.2017.08.007]
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亚急性、慢性椎-基底动脉闭塞的血管内再通治疗分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年08期
页码:
545-548
栏目:
论著
出版日期:
2017-08-25

文章信息/Info

Title:
Curative effects of endovascular recanalization on subacute and chronic vertebrobasilar artery occlusion
文章编号:
1009-153X(2017)08-0545-03
作者:
孙文华 樊翊凌 丁圣豪 赵 兵 潘耀华 万杰清
200240 上海,上海交通大学医学院附属仁济医院神经外科(孙文华、樊翊凌、丁圣豪、赵 兵、潘耀华、万杰清
Author(s):
SUN Wen-hua FAN Yi-ling DING Sheng-hao ZHAO Bing PAN Yao-hua WAN Jie-qing.
Department of Neurosurgery, Renji Hospital, Medical School, Shanghai Jiaotong University, Shanghai 200240, China
关键词:
颅内动脉瘤血管内栓塞复发显微手术
Keywords:
Subacute and chronic vertebrobasilar occlusion Endovascular stenting Clinical outcomes
分类号:
R 743; R 815.2
DOI:
10.13798/j.issn.1009-153X.2017.08.007
文献标志码:
A
摘要:
目的 探讨血管内支架再通术治疗亚急性、慢性椎-基底动脉闭塞的可行性、安全性及中远期疗效。方法 回顾性分析2012年10月至2016年8月行血管内再通术治疗18例亚急性、慢性椎-基底动脉闭塞的的临床资料。结果 18例中,16例(88.9%)实现闭塞血管再通,闭塞血管远端中位TIMI血流分级由术前的0提高到2.4;术后6例症状改善,9例症状稳定,1例因颅内出血死亡。15例术后平均随访1年,其中11例改良Rankin量表评分较术前改善,4例没有明显改善;Malek评分1分12例,2分3例;DSA随访仅1例出现再狭窄(再狭窄程度大于50%),余未见明显血管内再狭窄。结论 亚急性、慢性椎基-动脉闭塞腔内支架成形再通术在技术上是可行的,安全的,并且可以取得良好的中远期效果。
Abstract:
Objective To analyze the feasibility and safety of endovascular stenting for subacute and chronic vertebrobasilar artery occlusion and its curative effect. Method The clinical data of 18 patients with subacute or chronic vertebrobasilar artery occlusion undergoing endovascular stenting in Renji Hospital from October, 2012 to August, 2016 were analyzed retrospectively, including the perioperative complications, clinical effect, recurrent events during the following-up, pre- and post-operative modified Rankin scale (mRS) scores, Makel scale score and so on. Results Of 18 patients with vertebrobasilar artery occlusion, 16 had recanalization of the occluded arteries and 2 not after the endovascular stenting. Of 16 patients with vertebrobasilar artery recanalization, 6 were improved in the clinical symptoms, 9 had unchanged clinical symptoms and 1 died of intracranial hemorrhage. The following-up 1 year after the operation showed that of 15 patients, 11 were improved in mRS scores and 4 not. Malek scale score was 1 point in 12 patients and 2 points in 3. DSA 1 year after the operation showed that the vertebrobasilar artery had restenosis (stenosis degree >50%) in 1 patient who underwent balloon angioplasty and 14 not. Conclusions Endovascular stenting for the recanalization of symptomatic subacute and chronic vertebrobasilar artery occlusion is technically feasible and safe, and its mid-or long- term curative effect is satisfactory.

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备注/Memo

备注/Memo:
基金项目:浦东新区卫生和计划生育委员会卫生科技项目(PW2014D-3);上海市科学技术委员会科研计划项目(14ZR425000) 作者单位:200240 上海,上海交通大学医学院附属仁济医院神经外科(孙文华、樊翊凌、丁圣豪、赵 兵、潘耀华、万杰清) 通讯作者:万杰清,E-mail:jieqingwan@126.com
更新日期/Last Update: 1900-01-01