武剑 王拥军 李慎茂 董宗俊 颜振瀛 华杨 王萍 武剑、王拥军、颜振瀛 100053 北京，首都医科大学宣武医院神经内科；李慎茂 放射科；董宗俊 血管外科；华杨、王萍 超声波室 中华神经科杂志 1999 0 32 3


    关键词：颈动脉狭窄；动脉粥样硬化；支架 期刊 zhsjkzz 0 论著 fur -->


    

【摘要】 目的 利用颈动脉支架成形术治疗高度狭窄的颈动脉粥样硬化病人。方法 选择3例缺血性脑血管病病人，其中2例表现为短暂性脑缺血发作，1例表现为脑梗死，相应颈动脉狭窄均大于70%。选用Palmaz154和Wallstent支架进行颈动脉成形术。结果 植入支架后，病人临床症状消失或减轻，影像学显示血管形态恢复正常，没有发生严重的并发症。随访1年，支架形态正常，血管无再狭窄。结论 在因颈动脉粥样硬化导致的颈动脉高度狭窄病人的治疗中，颈动脉支架成形术是一种安全有效的方法。

Treatment of carotid atherosclerosis using carotid artery stentplacement

WU Jian，WANG Yongjun，LI Shenmao，et al. Department of Neurology, Xuanwu Hospital, Capital University of Medical Sciences,Beijing 100053

【Abstract】 Objective To treat the three cases ofhigh grade carotid stenosis resulted from carotid atherosclerosis with stent-assistedcarotid angioplasty in China. Methods A total of three patients withischemic strokes was selected.Two of the patients showed the symptoms with transientischemic attacts(TIA),one of them had symptoms of cerebral infartion.All of these threecases disclosed more than 70% stenosis of the contralateral proximal internal carotidarteries.The three carotid angioplasties were carried out using the Palmaz154 or Wallstent stents. Results After stent-assisted carotid angioplasty,the clinicalsymptoms disappeared and angiographic results were successful. There were no obviouscomplications in the procedures. Conclusion Carotid stent angioplastyis an effective and safe method in treating high grade carotid stenosis resulted fromcarotid atherosclerosis.

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