Nomura M, Kida S, Yamashima T, Yamashita J, Yoshikawa J, Matsui O
Department of Neurosurgery, Kanazawa University School of Medicine, 13-1 Takara-machi, Kanazawa 920-8641, Japan.
Cardiovasc Intervent Radiol. 1999 Sep-Oct;22(5):427-32. doi: 10.1007/s002709900421.
A 43-year-old man with progressive right common carotid, subclavian artery, and brachiocephalic artery stenoses due to aortitis syndrome is presented. The patient's right common carotid artery had been treated by percutaneous transluminal angioplasty (PTA) four times previously, but it was finally occluded. The right subclavian artery was treated by PTA once, which resulted in restenosis. The stenosis extended to the brachiocephalic artery. For this patient, PTA followed by stent placement was performed for the right subclavian and brachiocephalic artery stenosis. Because arterial stenosis is progressive in cases of aortitis syndrome, simple PTA alone does not appear to be sufficient for treatment. We suggest that PTA followed by stent placement may be an alternative treatment for recurrent stenosis in aortitis syndrome.
本文介绍了一名43岁男性，因大动脉炎综合征导致右侧颈总动脉、锁骨下动脉和头臂干动脉进行性狭窄。该患者的右侧颈总动脉此前已接受过4次经皮腔内血管成形术（PTA）治疗，但最终仍发生了阻塞。右侧锁骨下动脉接受过1次PTA治疗，结果出现了再狭窄。狭窄延伸至头臂干动脉。对于该患者，对右侧锁骨下动脉和头臂干动脉狭窄进行了PTA并置入支架。由于大动脉炎综合征患者的动脉狭窄呈进行性，单纯的PTA似乎不足以进行治疗。我们认为，PTA后置入支架可能是大动脉炎综合征复发性狭窄的一种替代治疗方法。
