| 引用本文： |
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张桂运,顾斌贤,陈左权.Wingspan支架治疗缺血性脑血管病的临床研究[J].同济大学学报（医学版）,2015,36(3):39-42. [点击复制]
- ZHANG Gui-yun,GU Bin-xian,CHEN Zuo-quan.Wingspan stents for treatment of ischemic cerebrovasculardisease:a clinical study[J].同济大学学报（医学版）,2015,36(3):39-42. [点击复制]
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| 摘要: |
| 目的对应用Wingspan支架治疗的前、后循环缺血性病变患者进行回顾性分析,探讨该支架在前、后循环动脉硬化性血管狭窄及椎动脉夹层支架植入术中的安全性和有效性,从而为临床介入医生提供实用的建议,不断提高临床操作水平,降低技术相关的并发症。方法 对18例经临床和脑血管造影证实为前、后循环动脉粥样硬化或椎动脉夹层的患者支架植入的技术成功率、出血性事件、缺血性事件、临床症状与支架内再狭窄进行回顾性分析。结果 支架植入的技术成功率100%,无技术相关并发症发生；术后6至12个月临床或头颅磁共振随访无再次缺血性事件发生；临床症状消失者16例,症状改善者2例；术后24h内并发脑出血1例；支架内再狭窄者1例,但无临床阳性症状。结论 对经过严格选择的临床患者,Wingspan支架治疗缺血性脑血管病是安全有效的,而其较强的支撑力,有利于减少后期支架内再狭窄,促进夹层的解剖愈合及消除残余狭窄,对预防脑卒中再发及夹层血管的修复具有积极意义。 |
| 关键词: 支架 治疗 脑血管病 临床研究 |
| DOI：10.16118/j.1008-0392.2015.03.009 |
| 投稿时间：2014-08-14 |
| 基金项目: |
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| Wingspan stents for treatment of ischemic cerebrovasculardisease:a clinical study |
| ZHANG Gui-yun,GU Bin-xian,CHEN Zuo-quan |
| (Dept.of Neurosurgery, Tongji Hospital, Tongji University, Shanghai 200065, China;Dept.of Interventional Radiology, Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200040, China;Dept.of Neurosurgery, Tenth People's Hospital, Tongji University, Shanghai 200072, China) |
| Abstract: |
| ObjectiveTo evaluate the safety and efficacy of Wingspan stents in treatment of ischemic cerebrovascular diseases. Methods Eighteen patients who were diagnosed as arteriostenosis caused by atherosclerosis or dissection were retrospectively reviewed. The success rate of the procedure, hemorrhagic episode, ischemic episode, clinical symptom and in-stent stenosis were analyzed. ResultsThe rate of procedure success was 100.0%. There were no secondary ischemic episodes. The clinical symptoms were eliminated in 16 patients and relieved in 2. One case had cerebral hemorrhage in 24h after stent implantation and another case had in-stent stenosis. Conclusion Wingspan stents are safe and effective for treatment of ischemic cerebrovascular disease with a low rate of in-stent stenosis. |
| Key words: stent cerebrovascular disease treatment clinical study |
