CAJ | 학술논문

目的：评价症状性基底动脉狭窄患者 Wingspan 支架置入术的可行性及有效性。方法回顾性分析 Wingspan 支架治疗症状性基底动脉狭窄患者40例的临床资料,统计支架置入的手术成功率、狭窄率、围手术期并发症。结果手术成功率95.35%,围手术期(术后30 d)并发症发生率20.0%(共8例),其中2例无后遗症,致死致残性患者6例,死残率15%。36例患者进行了临床随访,平均随访日期为36.3个月(12~75个月),随访率92.3%。17例患者接受了影像学(DSA 或 CTA)随访,平均随访日期为9.4个月(4~41个月),2例患者出现症状性支架内再狭窄,再狭窄率为11.76%。在12个月随访期间共发生3例缺血性事件,年不良事件发生率8.33%。结论症状性基底动脉狭窄患者行 Wingspan 支架成形术是可行的、有效的,需慎重把握手术适应证。
목적：평개증상성기저동맥협착환자 Wingspan 지가치입술적가행성급유효성。방법회고성분석 Wingspan 지가치료증상성기저동맥협착환자40례적림상자료,통계지가치입적수술성공솔、협착솔、위수술기병발증。결과수술성공솔95.35%,위수술기(술후30 d)병발증발생솔20.0%(공8례),기중2례무후유증,치사치잔성환자6례,사잔솔15%。36례환자진행료림상수방,평균수방일기위36.3개월(12~75개월),수방솔92.3%。17례환자접수료영상학(DSA 혹 CTA)수방,평균수방일기위9.4개월(4~41개월),2례환자출현증상성지가내재협착,재협착솔위11.76%。재12개월수방기간공발생3례결혈성사건,년불량사건발생솔8.33%。결론증상성기저동맥협착환자행 Wingspan 지가성형술시가행적、유효적,수신중파악수술괄응증。
Objective To assess the efficacy and feasibility of Wingspan stents for symptomatic atherosclerotic stenosis of the bas-ilar artery.Methods Clinical data of 40 patients with symptomatic atherosclerotic stenoses in the basilar artery were analyzed retro-spectively.The operative successful rate,the degree of stenosis,perioperative complications and the results of clinical and imaging follow-up were analyzed.Results The technical success rate was 95.35%.The rate of procedure-related complications during the perioperative period (30 days)was 20.0% (eight of 40 patients).There were two patients with no permanent neurological sequelae. Ipsilateral stroke or death occurred in six patients(1 5%).Thirty-six patients(92.3%)were available for a clinical follow up.The mean follow-up period was 36.3 months (range 12-75 months).Seventeen patients (47.2%)were available for follow-up imaging with DSA or CTA.The mean imaging follow-up period was 9.4 months (range 4-41 months).Symptomatic in-stent restenosis (ISR)was documented in two (1 1.76%)of these patients.Three ischemic events occurred during the follow-up period in 12 months.The adverse event rate was 8.33% at 1 year.Conclusion Wingspan stents for symptomatic atherosclerotic stenosis of the basilar artery was an effective and feasible technique,but we should carefully grasp the operation indications.