[1]周刚,谢轩贵,张洪良.CEA治疗伴对侧颈内动脉闭塞的颈动脉重度狭窄的疗效[J].临床神经外科杂志,2016,(01):28-30.
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CEA治疗伴对侧颈内动脉闭塞的颈动脉重度狭窄的疗效()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2016年01期
页码:
28-30
栏目:
缺血性脑血管病专题
出版日期:
2016-03-01

文章信息/Info

Title:
Outcomes of Carotid endarterectomy in severe carotid stenosis with contralateral occlusion
作者:
周刚 谢轩贵张洪良
成都市第一人民医院
关键词:
颈动脉内膜剥脱术颈动脉狭窄颈动脉闭塞
Keywords:
Carotid stenosis Carotid occlusion carotid endarterectomy
文献标志码:
A
摘要:
目的 评价颈动脉内膜剥脱术(CEA)治疗一侧颈内动脉(ICA)重度狭窄伴对侧颈内动脉闭塞的疗效。方法 回顾性分析11例患者的临床资料,包括围手术期并发症及近远期疗效;并比较术前及术后3个月颈部及大脑中动脉血管血流峰值。结果 即刻成功率为100%(11/11),术后患者脑缺血症状均得到改善,围手术期无病例死亡或缺血性脑卒中等严重并发症发生,总并发症发生率18.2%(2/11),其中出现1例(9.1%)皮下血肿、1例(9.1%)出现短暂声音嘶哑,经积极治疗后均好转。随访率100%(11/11),随访时间6-61( 32.5±17.2)个月。患者均无术侧颈动脉再狭窄,其中1例再发对侧缺血性脑卒中病例。术后患者颈动脉血流峰值及大脑中动脉收缩期血流峰值与术前比较差异有统计学意义(p<0.05)。结论 对于一侧颈内动脉重度狭窄伴对侧颈动脉闭塞的高危患者,颈动脉内膜剥脱术具有满意的围手术期结果和较好的远期脑卒中预防疗效。
Abstract:
Objective To analyze the peri-operative mortality, stroke rates and late benefits of carotid artery stenting, contralateral to an occluded carotid artery in a single medical center.【Methods】 Clinical data of 11 cases were analyzed retrospectively, including postoperative period and follow-up; and compare the peak velocity of carotid artery and middle celebral artery between preoperative and three months postoperative.【Result】The technical success rate was 100% (11/11) with no peri-operative mortality or ischemic stroke. The overall peri-operative complication rate was 18.2% (2/11); including ecchymoma 9.1 %( 1/11), transient hoarseness 9.1 %( 1/11). The average follow-up time was 32.5±17.2 months with follow-up rate100% (11/11).the difference of the peak velocity of carotid artery and middle celebral artery between preoperative and three months postoperative is significant (p<0.05). 【Conclusion】 CEA contralateral to an occluded carotid artery can be performed with acceptable perioperative mortality and stroke risk rates, as well as a satisfactory long-term beneficial effect in stroke prevention.

相似文献/References:

[1]张建平,王涛.颈动脉狭窄治疗选择:颈动脉内膜切除术与血管成形和支架植入术[J].临床神经外科杂志,2015,(03):235.
[2]徐慧敏,霍然,刘颖,等.血管选择性动脉自旋标记技术在颈动脉内膜切除术围手术期的应用价值[J].临床神经外科杂志,2019,16(06):527.[doi:10.3969/j.issn.1672-7770.2019.06.014]
 XU Hui-min,HUO Ran,LIU Ying,et al.Application of territorial arterial spin labeling in perioperative period of carotid endarterectomy[J].Journal of Clinical Neurosurgery,2019,16(01):527.[doi:10.3969/j.issn.1672-7770.2019.06.014]
[3]张斌,徐兴国,张慧婷,等.颈动脉内膜剥脱术治疗颈动脉狭窄的临床疗效分析[J].临床神经外科杂志,2019,16(5):406.[doi:10.3969/j.issn.1672-7770.2019.05.008]
 ZHANG Bin,XU Xing-guo,ZHANG Hui-ting,et al.Clinical efficacy of carotid endarterectomy for carotid artery stenosis[J].Journal of Clinical Neurosurgery,2019,16(01):406.[doi:10.3969/j.issn.1672-7770.2019.05.008]

备注/Memo

备注/Memo:
[收稿日期] 2015-06-21
更新日期/Last Update: 2016-02-15