6例自发性颅外段颈内动脉夹层腔内治疗中期临床效果观察

发布时间：2019-07-01 19:19

【摘要】：目的初步观察自发性颅外段颈内动脉夹层腔内治疗的中期临床疗效及支架内通畅情况。方法回顾性分析接受腔内治疗的自发性颅外段颈内动脉夹层患者临床资料及影像学随访资料,对比分析腔内治疗前后及末次随访时美国国立卫生研究院卒中量表(NIHSS)评分及支架内通畅情况。结果2012年3月至12月共6例自发性颅外段颈内动脉夹层患者接受腔内治疗,其中男4例,女2例,中位年龄50岁(40.75~54.75岁),发病至接受腔内治疗中位时间为10 d(1周至3个月)。所有患者支架植入后夹层真腔血流立即恢复,部分假腔内仍有对比剂充盈;1例术中出现视网膜动脉栓塞,无死亡患者。中位随访时间54.4个月(49.7~57.9个月),末次随访时NIHSS评分与术前相比,差异均无统计学意义(P=0.102);影像学复查可见颈内动脉支架段假腔均消失,支架内无明显狭窄。结论采用裸支架对部分有症状的自发性颅外段颈内动脉夹层进行腔内治疗,可有效防止临床症状复发,随访发现夹层重塑良好并保持支架内通畅。
[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，

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