Wingspan支架治疗重度症状性颅内椎动脉粥样硬化性狭
窄的疗效评价
杨志刚;田春鸥;张磊;张永巍;贾泽军;黄清海;许奕;赵文元;刘建民
【期刊名称】《中国脑血管病杂志》 【年(卷),期】2013(010)007
【摘要】Objective To investigate the safety,short-and medium-term efficacy of Wingspan stents in the treatment of severe symptomatic intracranial vertebral artery atherosclerotic stenosis.Methods The clinical and imaging data of 40 consecutive patients with severe intracranial vertebral artery stenosis (42 stenoses) who selected Wingspan stenting due to the failure of medical therapy from April 2007 to February 2013 were analyzed retrospectively.The morphology of vertebral
artery
stenosis,technical
success
rate,perioperative
complications,and clinical and imaging follow-up results were analyzed.Results ①The technical success rate of stent angioplasty in patients of this group was 100％.The mean stenosis rate decreased from 75.4％ (median [M] range 54.3％ to 99％) to 10.0％ (0 to 40％) after procedure.②All the patients were followed up clinically for 30.5 (M 2 to 72) months,among them 19 were followed up with DSA for a mean of 9 months (range 0.5 to 47),and 14 were followed up with CT angiography or MR angiography for a mean of 8 months (range 2 to 35).Three patients (7.5％) had stroke within 30 days after the procedure,one of
Wingspan支架治疗重度症状性颅内椎动脉粥样硬化性狭窄的疗效评价
