症状性颅内动脉狭窄支架治疗围手术期并发症分析

发布时间：2018-03-09 02:11

本文选题：颅内动脉狭窄　切入点：支架　出处：《实用医学杂志》2017年18期 　论文类型：期刊论文

【摘要】：目的分析症状性颅内动脉狭窄支架治疗患者围手术期并发症,探讨其发生机制及预防。方法收集广西脑卒中中心登记的症状性颅内动脉狭窄并行血管内治疗的患者共63例。记录所有入组患者年龄,是否高血压、糖尿病、高脂血症、抽烟以及并发症发生时间、类型。结果入组患者63例,1例患者因血管迂曲支架无法到位结束手术,1例患者因血管发生严重痉挛结束手术,手术成功率96.83%。61例患者共植入61枚颅内支架,发生围手术期并发症5例,发生率为8.20%(5/61),其中术后出血性卒中3例,缺血性卒中2例。2例患者死亡,死亡率3.28%。结论症状性颅内动脉狭窄支架治疗并发症发生率较高,术前充分评估、选择患者,术中仔细操作以及严格术后管理可以有效降低并发症的发生率。
[Abstract]:Objective to analyze the perioperative complications in patients with symptomatic intracranial artery stenosis treated with stenting. Methods Sixty-three patients with symptomatic intracranial artery stenosis and intravascular treatment were collected from Guangxi Stroke Center. Age, hypertension, diabetes, hyperlipidemia were recorded. Results Sixty-three patients with severe vasospasm caused severe vasospasm in one patient and one patient ended the operation because the vascular stent could not be put in place, and one patient ended the operation because of serious vasospasm. The successful rate of operation was 96.83%. 61 intracranial stents were implanted in 61 patients. The perioperative complications occurred in 5 cases (8.20% / 61%). Among them, 3 cases were hemorrhagic stroke, 2 cases died of ischemic stroke. Conclusion the incidence of complications in the treatment of symptomatic intracranial artery stenosis by stenting is high. The incidence of complications can be effectively reduced by adequate preoperative evaluation, selection of patients, careful operation during operation and strict postoperative management.
【作者单位】：广西壮族自治区人民医院神经内科;
【基金】：广西卫生厅重点科研课题(编号:重2011115)
【分类号】：R743.3

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