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<正>近年来,随着血管内治疗技术不断完善,使颈动脉支架成形术(CAS)发展迅速。2010年CREST试验显示,不论是症状性还是无症状性颈动脉狭窄,CAS和颈动脉内膜切除术(CEA)治疗的脑卒中、心肌梗死和死亡的综合风险无显著差异。而CEA的心肌梗死管理指南中,明确指出CAS可作为CEA的替代治疗,尤其是在颈部解剖特点不适合完成CEA的患者。本研究回顾性分析124例行CAS患者的临床资料,探讨这一微创手术的疗效和安全性。
Abstract：[1]Mantese VA,Timaran CH.Chiu D,et al.The carotid revascularization endarterectomy versus stenting trial(CREST):stenting versus carotid endarterectomyfor carotid disease.Stroke, 2010,41:S31-S34.
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[3]Levy EI.Mocco J,Samuelson RM,et al.Optimal treatment of carotid artery disease.J Am Coll Cardiol,2008,51:979-985.
[4]Mas JL,Trinquart L,Leys D,et al.EVA-3S investigators. Endarterectomy versus angioplasty in patients with symptomatic severe carotid stenosis(EVA-3S) trial:results up to 4 years from a randomised,multicentre trial.Lancet Neurol, 2008,7:885-892.
[5]Ringleb PA,Allenberg J,Bruckmann H,et al.30-day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients;a randomised non-inferiority trial.Lancet,2006,368:1239-1247.
[6]Kastrup A.Groschel K,Schnaudigel S,et al.Target lesion ulceration and arch calcification are associated with increased incidence of carotid stenting-associated ischemic lesions in octogenarians. J Vasc Surg,2008,47:88-95.
[7]Sayeed S,Stanziale SF,Wholey MH,et al.Angiographic lesion characteristics can predict adverse outcomes after carotid artery stenting.J Vasc Surg,2008,47:81-87.
[8]Kurre W,Berkefeld J,Brassel F,et al.for the INTRASTENT Study Group.In-hospital complication rates after stent treatment of 388 symptomatic intracranial stenoses;results from the INTRASTENT multicentric registry.Stroke,2010,41:494- 498.
[9]马春,李淑婷,华扬,等.颅内与颅外动脉重度狭窄或闭塞患者血管危险因素的差异.中华老年心脑血管病杂志,2011,13: 521-523.
[10]李宝民,李生,王茂强,等.经皮血管内支架成形术治疗颈动脉狭窄.中华老年心脑血管病杂志,2003,5:385-387.
基本信息:
中图分类号:R743.3
引用信息:
[1]李迪,高众,王苏平,等.经皮血管内支架成形治疗老年患者颈动脉狭窄的临床分析[J].中华老年心脑血管病杂志,2012,14(10):1100-1101.
2012-10-15
2012-10-15