本文關鍵詞： 頸動脈狹窄 椎底動脈供血不足 支架 手術中并發(fā)癥 危險因素　出處：《中華老年心腦血管病雜志》2016年11期 　論文類型：期刊論文

【摘要】：目的探討血管內支架置入術治療顱外頸動脈和椎動脈狹窄患者圍術期并發(fā)癥特點及危險因素,制訂術前評估策略。方法連續(xù)選擇我院行血管內支架置入術的患者279例,根據手術方式分為:頸動脈支架組207例及椎動脈支架組72例,術后隨訪30d,根據圍術期內是否存在并發(fā)癥分為并發(fā)癥組144例和無并發(fā)癥組135例。結果頸動脈支架組心動過緩(10.6%vs 1.4%,P=0.027)及血壓降低(22.7%vs 5.6%,P=0.001)的比例明顯高于椎動脈支架組。并發(fā)癥組患者隨著年齡、狹窄程度的增加,并發(fā)癥比例明顯升高,而無并發(fā)癥組明顯降低(P0.05)。logistic回歸分析顯示,年齡、高血壓、動脈狹窄程度、狹窄長病變、Ⅲ型主動脈弓、術者操作經驗及操作時間為圍術期并發(fā)癥的獨立危險因素,球囊預擴為圍術期并發(fā)癥的保護因素。結論患者相關因素及術中因素均可顯著影響圍術期并發(fā)癥的發(fā)生,術前充分準備、術中規(guī)范操作及術后嚴密監(jiān)測對防治圍術期并發(fā)癥尤為重要。
[Abstract]:Objective to investigate the characteristics and risk factors of perioperative complications in patients with extracranial carotid artery and vertebral artery stenosis treated by endovascular stenting. Methods 279 consecutive patients underwent endovascular stenting in our hospital were divided into carotid stenting group (207 cases) and vertebral artery stenting group (72 cases). The patients were followed up for 30 days. According to whether there were complications during the perioperative period, there were 144 cases in the complication group and 135 cases in the non-complication group. Results the carotid artery stent group had a bradycardia 10.6 vs 1.4%. The proportion of P0. 027) and lower blood pressure (22. 7 vs 5. 6 P0. 001) was significantly higher than that in the vertebral artery stenting group. The degree of stenosis increased with age in the complication group. The proportion of complications was significantly increased, while in the non-complication group, P 0.05U. Logistic regression analysis showed that age, hypertension, degree of arterial stenosis, long lesion of stenosis, type 鈪，

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