中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2010年
7期
623-625
,共3页
大脑中动脉%支架%迂曲血管径路%单导丝技术%双导丝技术
大腦中動脈%支架%迂麯血管徑路%單導絲技術%雙導絲技術
대뇌중동맥%지가%우곡혈관경로%단도사기술%쌍도사기술
Middle cerebral artery%Stents%Extremely tortuous access%Single - wire technique%Double - wire technique
目的 探讨在严重迂曲的血管径路下,大脑中动脉重度狭窄的血管内支架成形技术.方法 对18例症状性大脑中动脉狭窄(狭窄率>50%)患者进行血管内支架成形术,颈内动脉虹吸段严重迂曲,导丝/支架难以通过,其中5例在首先采用单导丝技术,无法使支架释放系统顺利到达狭窄病变后,改用双导丝技术来完成血管内支架成形术.结果 在严重迂曲血管径路下,标准的单导丝技术无法成功时,采用双导丝技术能够成功完成大脑中动脉支架成形术.结论 对严重迂曲血管径路的颅内动脉狭窄病变采用双导丝技术町以明显提高手术成功率.
目的 探討在嚴重迂麯的血管徑路下,大腦中動脈重度狹窄的血管內支架成形技術.方法 對18例癥狀性大腦中動脈狹窄(狹窄率>50%)患者進行血管內支架成形術,頸內動脈虹吸段嚴重迂麯,導絲/支架難以通過,其中5例在首先採用單導絲技術,無法使支架釋放繫統順利到達狹窄病變後,改用雙導絲技術來完成血管內支架成形術.結果 在嚴重迂麯血管徑路下,標準的單導絲技術無法成功時,採用雙導絲技術能夠成功完成大腦中動脈支架成形術.結論 對嚴重迂麯血管徑路的顱內動脈狹窄病變採用雙導絲技術町以明顯提高手術成功率.
목적 탐토재엄중우곡적혈관경로하,대뇌중동맥중도협착적혈관내지가성형기술.방법 대18례증상성대뇌중동맥협착(협착솔>50%)환자진행혈관내지가성형술,경내동맥홍흡단엄중우곡,도사/지가난이통과,기중5례재수선채용단도사기술,무법사지가석방계통순리도체협착병변후,개용쌍도사기술래완성혈관내지가성형술.결과 재엄중우곡혈관경로하,표준적단도사기술무법성공시,채용쌍도사기술능구성공완성대뇌중동맥지가성형술.결론 대엄중우곡혈관경로적로내동맥협착병변채용쌍도사기술정이명현제고수술성공솔.
Objective To explore the techniques with angioplasty and stenting for symptomatic stenosis of middle cerebral artery (MCA) with extremely tortuous access. Method Angioplasty and stenting was performed in 18 patients with symptomatic stenosis of MCA( >50% ). The guidingwire and stenting -system could not be dilivered to the stenotic lesions via standard technique of single wire in 5 patients for extremely tortuous cartoid siphon. So we chose the technique of double wires. Results Angioplasty and stenting was performed successfully in patients by double - wire technique when the standard single - wire techniques failed. Conclusions Double - wire technique used in intracranial stenosis with extremely tortuous access could obviously raise the rate of successful angioplasty and stenting.
