CAJ | 학술논문

目的评估药物洗脱支架(drug-eluting stent,DES)治疗头臂型大动脉炎的临床疗效.方法回顾性分析2010年3月至2011年4月采用DES治疗头臂型大动脉炎6例患者的临床资料,其中男2例,女4例,平均年龄(32±17)岁.对临床安全性、有效性进行分析.结果 6例患者共9根血管置入DES,其中颈动脉4根,椎动脉3根,锁骨下动脉2根,手术进行顺利,未发生相关并发症.患者平均随访(13±4)个月,有2例患者共3根血管发生支架内再狭窄＞90％,无支架断裂、移位等并发症.结论 DES在头臂型大动脉炎的治疗中有较好的安全性和有效性,积极有效地激素治疗是保证其远期通畅性的关键因素.
목적 평고약물세탈지가(drug-eluting stent,DES)치료두비형대동맥염적림상료효.방법 회고성분석2010년3월지2011년4월채용DES치료두비형대동맥염6례환자적림상자료,기중남2례,녀4례,평균년령(32±17)세.대림상안전성、유효성진행분석.결과 6례환자공9근혈관치입DES,기중경동맥4근,추동맥3근,쇄골하동맥2근,수술진행순리,미발생상관병발증.환자평균수방(13±4)개월,유2례환자공3근혈관발생지가내재협착＞90％,무지가단렬、이위등병발증.결론 DES재두비형대동맥염적치료중유교호적안전성화유효성,적겁유효지격소치료시보증기원기통창성적관건인소.
Objeetive To evaluate drug-eluting stent(DES) in the treatment of branchiocephalic Takayasu arterities (BCTA).Methods From March 2010 to April 2011,six BCTA cases [2 males and 4 females,mean age (32 ± 17) years] were treated with DES at our department.The safety and effectivity of DES were analysed.Results There were 9 vessels including 4 carotid arteries,3 vertebral arteries and 2 subclavian arteries,DES were implanted successfully without operation related complications.After (13 ±4) months of follow up,2 cases with 3 arteries showed severe in-stent restenosis(＞ 90％).There was no other complications such as stent fracture or displacement.Conclusions DES is safe and effective in treating BCTA,and regular glucocorticoid therapy is important for long-term patency of the DES.