[摘 要] 目的 观察颈动脉支架植入治疗颈动脉狭窄的疗效及其安全性。 方法 72例颈动脉狭窄患者进行了经皮腔内血管成形和支架植入术治疗。 结果 所有患者均经DSA血管造影证实有颈内动脉狭窄，手术成功率100%，治疗后残余狭窄率均低于30%。72例患者中有2例出现可逆性小卒中;3例出现术中球囊扩张时对侧肢体局灶性癫痫发作;3例血管痉挛;25例出现低血压、心动过缓;1例出现术后高灌注综合征;5例出现其它部位出血。结论 血管内支架成形术是一种治疗颈动脉狭窄安全有效的方法，提高术者操作技巧及围手术期监护可以降低手术并发症和死亡率，提高安全性。

    [关键词] 颈动脉狭窄;支架

    Clinical study of stent placement for carotid stenosis

    LUO Chun-xia，CHI Lu-xiang，CHEN Kang-ning，SHI Shu-gui，FAN Wen-hui，ZHANG Yan-ling

    (Department of Neurology，Southwest Hospital，Third Military Medical University，Interventional Institute of Cerebrovascular Disease，Chongqing400038，China)

    Abstract:Objective To study the safety and efficacy of stent placement for carotid stenosis.Methods From April2003to September2004，carotid artery stenting(CAS)was performed in72patients with carotid stenosis.Results Digital subtraction angiography(DSA)confirmed that all patients suffered from carotid stenosis.The successful rate of stent implantation was100%without any serious complication.The residual ste-nosis was less than30%.Over a mean6-month follow-up in27patients，according to Malek's scale ......