Vaso CT在椎-基底动脉结合部闭塞再通术中的应用

发布时间：2018-04-14 23:29

本文选题：缺血性脑血管病 + 闭塞　；参考：《中国脑血管病杂志》2017年10期

【摘要】：目的探讨Vaso CT检查的影像特征对椎-基底动脉结合部闭塞再通术的风险评估、指导作用及临床价值。方法回顾性纳入解放军总医院神经内科2016年1月至2017年5月收治的14例椎-基底动脉结合部闭塞患者,术前均行全脑DSA确认椎-基底动脉结合部闭塞,采用Vaso CT测量闭塞血管长度及其两端血管走形,根据结果评估手术风险并指导椎-基底动脉结合部闭塞再通术。结果 14例患者椎-基底动脉结合部闭塞血管长度为2.56~19.09 mm,平均(4.5±2.1)mm,对其中13例患者行椎-基底动脉闭塞再通术,12例患者血管成功开通,并均于血管开通后行支架置入术,其中置入Solitaire支架8枚及Wingspan支架4枚;1例患者因闭塞长度较长(19.09 mm)而未进行血管开通术。所有手术患者未发生围手术期并发症,术后患者神经功能症状均明显改善。结论 Vaso CT可对椎-基底动脉结合部闭塞开通术的手术风险进行准确判断,并可指导手术路径,降低患者围手术期并发症发生风险,提高手术成功率。
[Abstract]:Objective to evaluate the value of Vaso CT in evaluating the risk of vertebrobasilar artery occlusion and recanalization.Methods from January 2016 to May 2017, 14 patients with vertebrobasilar artery occlusion were retrospectively included in the Department of Neurology, General Hospital of PLA. All patients were confirmed by DSA before operation.Vaso CT was used to measure the length of occluded vessel and its shape. The risk of operation was evaluated according to the results and the recanalization of vertebrobasilar artery occlusion was guided.Results the vascular length of vertebrobasilar artery occlusion in 14 patients was 2.56 卤19.09 mm, with an average of 4.5 卤2.1 mm. Among them, 13 cases underwent vertebrobasilar artery occlusion and recanalization, 12 cases were successfully opened, and all cases were treated with stent implantation after vascular opening.Among them, 8 Solitaire stents and 4 Wingspan stents were implanted.There were no perioperative complications in all patients, and the neurological symptoms were significantly improved after operation.Conclusion Vaso CT can accurately judge the operation risk of vertebrobasilar artery occlusion, and can guide the operation path, reduce the risk of perioperative complications and improve the success rate of the operation.
【作者单位】：解放军总医院神经内科;
【基金】：国家自然科学基金资助项目(81371296)
【分类号】：R743.3

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