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頁籤選單縮合
題名 | Angioplasty with Stenting in Treatment of Carotid Artery Stenosis: Report of a 3-year Series=頸動脈血管支架對頸動脈狹窄的治療 |
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作者 | 蔡元雄; 許世偉; 張谷州; 劉嘉為; 郭葉璘; 呂鎮中; 李仁杰; 李懿蒼; 邱冠錡; | 書刊名 | 中華放射線醫學雜誌 |
卷期 | 28:6 2003.12[民92.12] |
頁次 | 頁361-366 |
分類號 | 416.263 |
關鍵詞 | 頸動脈狹窄; 缺血性中風; 血管支架; Carotid stenosis; Ischemic stroke; Stent; |
語文 | 英文(English) |
中文摘要 | 本篇文章收集三十五位接受頸動脈支架放置及血管成型術之病例。收集時間由1999年11月到2002年12月間,目的是探討頸動脈支架及血管成型術之安全及可行性。 三十五位病人中,三十三位的頸動脈狹窄起因於動脈粥狀硬化,其餘兩位乃因過去曾接受頸部放射療法。本治療的適應症為頸動脈口徑狹窄大於70%或是大於50%且有症狀。 治療前平均的頸動脈管徑狹窄為74%,治療後則是9.1%。治療中或治療後一個月內相關併發症的發生率是5.3%。在平均15.9個月的追蹤治療中,有14.3%的病人發生同側或雙側的復發性中風。 頸動脈支架及血管成型術應可用於治療頸動脈狹窄病患,成為外科手術外的另一選擇。 |
英文摘要 | Carotid angioplasty with stent placement has been proposed as an alternative treatment for revas-cularization of carotid artery stenosis. In this article, we describe our series of stent-assisted carotid angioplasty and summarize the safety and feasibility of this procedure. We performed 38 cervical carotid bifurcation angioplasty with stents in 35 patients during November 1999 to December 2002. The carotid bifurcation stenosis was induced by atherosclerotic plaque in 33 cases and post-radiation stenosis in 2 cases. The inclusion criteria for stenting was diam-eter stenosis >70% in any patients or stenosis >50% in symptomatic patients. Diagnostic cerebral angiography was performed before every procedures. Percutaneous transluminal angioplasty and stenting were performed with the goal of final diameter stenosis <30%. Any event occurring during procedure and within 3 days after procedure was recorded as procedure-relative. New neurological deficits or death occurred during follow-up was documented as late event. The mean pre-treatment diameter stenosis was 74.0% and final residual diameter stenosis 9.1%. The rate of peri-procedural morbidity was 5.3%. No peri-procedural death was noted. One patient suf-fered from ipsilateral minor stroke and another suf-fered from acute myocardial infarction. Five late ipsilateral or bilateral ischemic strokes (14.3%) occurred in mean 15.9 months’ follow-up. The restenosis rate was 11.4%. It is safe and feasible to treat carotid stenotic patient using stent-assisted angioplasty. |
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