CAJ | 학술논문

目的：探讨颈动脉支架成形术（ carotid artery stenting ， CAS）治疗颈动脉狭窄的疗效及并发症的预防。方法回顾性分析我科2009年3月到2013年12月采用CAS治疗的42例颈动脉狭窄患者的临床资料。其中，男24例，女18例，平均年龄62．4岁。病变部位：左侧17例，右侧19例，双侧6例。病变范围在颈动脉分叉处及颈内动脉起始部，狭窄长度15～35 mm，狭窄程度65％～95％。结果42例患者手术全部成功，脑保护装置顺利回收，其中7例发现细小脂质颗粒，2例发现小碎片。术后平均随访11个月。1例死于恶性肿瘤，1例死于心肌梗死，3例出现支架内再狭窄，但无临床症状，未作处理。结论CAS是一种微创、简单、有效的治疗手段，近期疗效好，规范操作可减少并发症的发生。
목적：탐토경동맥지가성형술（ carotid artery stenting ， CAS）치료경동맥협착적료효급병발증적예방。방법회고성분석아과2009년3월도2013년12월채용CAS치료적42례경동맥협착환자적림상자료。기중，남24례，녀18례，평균년령62．4세。병변부위：좌측17례，우측19례，쌍측6례。병변범위재경동맥분차처급경내동맥기시부，협착장도15～35 mm，협착정도65％～95％。결과42례환자수술전부성공，뇌보호장치순리회수，기중7례발현세소지질과립，2례발현소쇄편。술후평균수방11개월。1례사우악성종류，1례사우심기경사，3례출현지가내재협착，단무림상증상，미작처리。결론CAS시일충미창、간단、유효적치료수단，근기료효호，규범조작가감소병발증적발생。
Objective To investigate the therapeutic effect of carotid artery stenting ( CAS) and prevention of complications . Methods A retrospective analysis was made on the clinical data of 42 cases of CAS admitted into our department from March 2009 to December 2013, including 24 male and 18 female cases, with a mean age of 62.4 years.With regard to pathological changes in the af-fected sites, there were 17 cases affected on the left side , 19 cases in right side and 6 cases bilaterally.The scope of pathological chan-ges was at the carotid fork and at starting site of internal carotid artery .The length of stenosis was from 15cm to 35cm, and the serious-ness of stenosis was from 65%to 95%.Results Forty-two patients all successfully received surgical treatment , with all the embolic protection devices retrieved after surgery .Of all the cases , 7 cases displayed small lipid particles and 2 cases displayed small frag-ments.Medical follow-ups were 11 months after surgery .Results indicated that 1 patient died of malignancy , another 1 case died of my-ocardial infarction and 3 cases had restenosis in the stenting without clinical symptoms and without any medical treatment .Conclusion Carotid artery stenting was a minimally-invasive, simple and effective method for the treatment of carotid stenosis .Standard operating procedures could help to decrease the incidence of complications .