CAJ | 학술논문

目的探讨大脑中动脉长支架植入的技巧和安全性.方法 1例58岁的女性患者,因反复发作性右侧肢体功能障碍,全脑血管造影显示左侧大脑中动脉M1至M2段狭窄性长病变,病变长度约13～14 mm,狭窄90%～95%,病变血管直径为2.5 mm.在局部麻醉下植入2.5 mm×15.0 mm的雷帕霉素洗脱支架.结果成功植入了支架,造影示无残余狭窄,血流TIMI 3级.随访14个月,患者无任何不良事件发生.结论在掌握长支架植入技巧的情况下,大脑中动脉长病变植入长支架治疗效果好且安全可行.
목적 탐토대뇌중동맥장지가식입적기교화안전성.방법 1례58세적녀성환자,인반복발작성우측지체공능장애,전뇌혈관조영현시좌측대뇌중동맥M1지M2단협착성장병변,병변장도약13～14 mm,협착90%～95%,병변혈관직경위2.5 mm.재국부마취하식입2.5 mm×15.0 mm적뢰파매소세탈지가.결과 성공식입료지가,조영시무잔여협착,혈류TIMI 3급.수방14개월,환자무임하불량사건발생.결론 재장악장지가식입기교적정황하,대뇌중동맥장병변식입장지가치료효과호차안전가행.
Objective To discuss the skills, safety and feasibility of the long stent implants in the middle cerebral artery in brain. Methods One 58-year-old female patient suffered from recurrent right limb dysfunction was chosen as the subjective. The cerebral angiography showed long stenosis lesions (90%-95% )in left middle cerebral artery from M1 to M2, with the length of 13 - 14 mm and the vascular diameter of 2. 5mm. Under local anesthesia a 2. 5 mm × 15.0 mm rapamycin-eluting stent was implanted into left middle cerebral artery. Results The stent was successfully implanted with no residual stenosis, and with TIMI 3 level blood flow. The patient had no adverse events during 14-month follow up. Conclusion With good implanting skills,long stent implantation in middle cerebral artery is safe and feasible.