低剖面可视化腔内支撑装置血...内治疗症状性大脑中动脉狭窄_谢兵.pdfVIP免费

2023年4月Vol.50No.2第50卷第2期Apr.2023国际神经病学神经外科学杂志JournalofInternationalNeurologyandNeurosurgery低剖面可视化腔内支撑装置血管内治疗症状性大脑中动脉狭窄谢兵，丁明祥，韩志安，胡恺，李兵，黄晓光中山市人民医院脑血管介入科，广东中山528403摘要：目的探讨应用低剖面可视化腔内支撑装置（LVIS）治疗症状性大脑中动脉狭窄的安全性和有效性。方法分析2018年6月—2021年6月广东省中山市人民医院脑血管介入科应用LVIS治疗有完整随访资料的症状性大脑中动脉狭窄患者23例。记录手术成功率、并发症发生情况及支架内再狭窄情况，平均随访6~32个月。结果23例患者均成功释放支架，术后1例出现远隔部位再灌注出血，经积极保守治疗后好转。1例出现支架内血栓，经抽吸血栓后稍好转。1例仍有短暂性脑缺血发作，造影复查发现支架内再狭窄，通过球囊扩张血管成形，效果良好。术前和术后的狭窄率及NIHSS评分比较，差异有统计学意义（P<0.05）。结论应用LVIS治疗症状性大脑中动脉狭窄可行、有效。[国际神经病学神经外科学杂志,2023,50(2):44-48]关键词：血管内治疗；大脑中动脉；支架中图分类号：R734DOI:10.16636/j.cnki.jinn.1673-2642.2023.02.009Endovasculartreatmentofsymptomaticmiddlecerebralarterystenosiswithlow-pro⁃filevisualizedintraluminalsupportstentXIEBing，DINGMingxiang，HANZhian，HUKai，LIBing，HUANGXiaoguangDepartmentofCerebrovascularIntervention，ZhongshanPeople'sHospital，Zhongshan，Guangdong528403，ChinaCorrespondingauthor：XIEBing，Email：xiebing21000154@163.comAbstract：ObjectiveToinvestigatethesafetyandefficacyoflow-profilevisualizedintraluminalsupport（LVIS）stentinthetreatmentofsymptomaticmiddlecerebralarterystenosis.MethodsAretrospectiveanalysiswasperformedfor23patientswithsymptomaticmiddlecerebralarterystenosiswhoweretreatedwithLVISstentinDepartmentofCerebrovascu­larIntervention，ZhongshanCityPeople’sHospital，fromJune2018toJune2021andhadcompletefollow-updata.Thesuccessrateofsurgery，complications，andin-stentrestenosiswererecorded，andthepatientswerefollowedupfor6-32months.ResultsThestentsweresuccessfullyreleasedinall23patients.Amongthesepatients，1patientdevelopeddis­tantreperfusionbleedingaftersurgeryandwasimproveda...