CAJ | 학술논문

目的探讨应用颅内自膨式专用支架治疗症状性颅内动脉狭窄的有效性、安全性.方法 61例症状性颅内动脉狭窄患者(直径狭窄率>70%)接受了65枚颅内专用支架治疗,其中Wingspan支架40枚,Neuroform支架25枚.结果技术成功率达100%,病变动脉的狭窄程度纠正50%～90%,平均为72%,无血管撕裂、急性动脉闭塞、远端血管栓塞事件等并发症出现,术后3-24个月复查,2例出现完全闭塞,但无明显临床症状.结论自膨式颅内专用支架的应用,有效提高了手术的安全性和成功率,但长期疗效需要进一步观察.
목적 탐토응용로내자팽식전용지가치료증상성로내동맥협착적유효성、안전성.방법 61례증상성로내동맥협착환자(직경협착솔>70%)접수료65매로내전용지가치료,기중Wingspan지가40매,Neuroform지가25매.결과 기술성공솔체100%,병변동맥적협착정도규정50%～90%,평균위72%,무혈관시렬、급성동맥폐새、원단혈관전새사건등병발증출현,술후3-24개월복사,2례출현완전폐새,단무명현림상증상.결론 자팽식로내전용지가적응용,유효제고료수술적안전성화성공솔,단장기료효수요진일보관찰.
Objective To study the safety and efficacy of serf-expanding stent for symptomatic intracranial artery stenosis. Method 61 patients with symptomatic intracranial artery stenosis (rate of diameter stenosis > 70%) accepted 65 serf-expanding stents deployment, including 40 wingspan stents and 25 neuroform stents. Results The technically successful rate was 100%. The average artery stcnosis was retrieved by 72% after stent deployment. There was no arterial dissection, acute occlusion of the target artery or symptomatic distal emboli. Within the follow-up period (3-24 months), 2 patients endured asymptomatical artery full occlusion. Conclusions The application of self-expanding stent could elevate the operative safety and effectiveness. However,further study is needed to evaluate the long-term therapeutic effect.