發(fā)布時間：2019-07-01 19:19

【摘要】：目的初步觀察自發(fā)性顱外段頸內動脈夾層腔內治療的中期臨床療效及支架內通暢情況。方法回顧性分析接受腔內治療的自發(fā)性顱外段頸內動脈夾層患者臨床資料及影像學隨訪資料,對比分析腔內治療前后及末次隨訪時美國國立衛(wèi)生研究院卒中量表(NIHSS)評分及支架內通暢情況。結果2012年3月至12月共6例自發(fā)性顱外段頸內動脈夾層患者接受腔內治療,其中男4例,女2例,中位年齡50歲(40.75~54.75歲),發(fā)病至接受腔內治療中位時間為10 d(1周至3個月)。所有患者支架植入后夾層真腔血流立即恢復,部分假腔內仍有對比劑充盈;1例術中出現(xiàn)視網膜動脈栓塞,無死亡患者。中位隨訪時間54.4個月(49.7~57.9個月),末次隨訪時NIHSS評分與術前相比,差異均無統(tǒng)計學意義(P=0.102);影像學復查可見頸內動脈支架段假腔均消失,支架內無明顯狹窄。結論采用裸支架對部分有癥狀的自發(fā)性顱外段頸內動脈夾層進行腔內治療,可有效防止臨床癥狀復發(fā),隨訪發(fā)現(xiàn)夾層重塑良好并保持支架內通暢。
[Abstract]:Objective to observe the mid-term clinical effect and stent patency of spontaneous extracranial internal carotid artery dissecting. Methods the clinical data and imaging follow-up data of spontaneous extracranial internal carotid artery dissection treated with intracavitary treatment were analyzed retrospectively. the (NIHSS) score and stent patency of the National Institutes of Health Stroke scale before and after intracavitary treatment and the last follow-up were compared and analyzed. Results from March to December 2012, 6 patients with spontaneous extracranial internal carotid artery dissection were treated with endovascular therapy, including 4 males and 2 females, with a median age of 50 years (40.75 鈮，

本文編號：2508733