CAJ | 학술논문

目的回顾性分析颈动脉支架成形治疗缺血性脑血管疾病围手术期常见并发症的原因及其处理.方法 52例61处颈动脉狭窄行CAS治疗,成功植入40枚Wallstent支架,20枚"Z"型支架,手术成功率达98%.结果所有患者术后随访1个月,明确诊断过度灌注综合征1例,6例患者出现程度不等的头晕、头痛;12例出现颈动脉窦反应;1例术后脑MRI新发脑梗死,1例双侧重度狭窄的患者术中出现短暂性脑缺血发作;术中脑血管痉挛12例;发现穿刺局部血肿6例(假性动脉瘤2例),动静脉瘘1例.结论术前充分准备、术中规范化操作、术后积极正规治疗可明显降低CAS围手术期并发症、改善预后.
목적 회고성분석경동맥지가성형치료결혈성뇌혈관질병위수술기상견병발증적원인급기처리.방법 52례61처경동맥협착행CAS치료,성공식입40매Wallstent지가,20매"Z"형지가,수술성공솔체98%.결과 소유환자술후수방1개월,명학진단과도관주종합정1례,6례환자출현정도불등적두훈、두통;12례출현경동맥두반응;1례술후뇌MRI신발뇌경사,1례쌍측중도협착적환자술중출현단잠성뇌결혈발작;술중뇌혈관경련12례;발현천자국부혈종6례(가성동맥류2례),동정맥루1례.결론 술전충분준비、술중규범화조작、술후적겁정규치료가명현강저CAS위수술기병발증、개선예후.
Objective To analyze the complications and treatment of carotid artery stenting for ische-mic cerebral vaseuladisease. Methods 52 patients with 61 carotid artery stenosis were performed stenting an-gioplasty. 40 Wallstent stents and 20"Z" type stents were implanted successfully. Results All 52 patients were observed sysmetieally during the periproee-dural time. 1 ease was diagnosed definitely hyperperfusion syndrome and 6 eases with temporarily headache or giddy. Carotid sinus reactions were observed during the operation of 12 eases. Transient cerebral isehemia attaeted one ease with botearotid artery serve stenosis during the operation an dcerebral infarction did harm to another ease. 12 eases were provokevaseular spasm. There were 6 eases wit hpuncture hematoma(ineluding 2 pseudoaneurysms)and 1 ease with fistula between the feromal artery and vein. Conclusion The results suggest that the sufficient prepare, standard procedure and correct treatment might sig-nificantly decrease the incidence of CAS complications and improve its prognosis.