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[在一名因左锁骨下动脉闭塞而接受手术的患者中,对位于颈动脉-锁骨下动脉吻合区域的左颈总动脉扭结进行支架置入术]

[Stenting of left common carotid artery kinking in the region of carotid subclavian anastomosis in a patient operated for occlusion of left subclavian artery].

作者信息

Zaĭtsev A Iu, Stoĭda A Iu, Smirnov V E, Evdokimov A C

机构信息

Acad. N.N.Burdenko Center of Interventional Radiology, Moscow, Russia.

出版信息

Angiol Sosud Khir. 2003;9(1):125-8.

PMID:12811403
Abstract

The paper presents a case report of left common carotid artery kinking treated by stenting in a patient with aortoarteritis. The kink had developed 10 months after performance of carotid-subclavian anastomosis for occlusion of left subclavian artery and steal syndrome. The stenting procedure of left common carotid artery is described. Follow-up for 42 months and control angiography 6 months after stent implantation demonstrated good outcome and regression of neurological symptoms. Special features of stenting procedure in coiled artery with unaltered walls are analysed. The authors mention that carotid stenting in this patient was the most appropriate method of surgical treatment. It is the first description of stent use for carotid artery kinking correction.

摘要

本文报道了1例大动脉炎患者经支架置入术治疗左颈总动脉扭曲的病例。该扭曲发生在因左锁骨下动脉闭塞和盗血综合征行颈动脉-锁骨下动脉吻合术后10个月。文中描述了左颈总动脉的支架置入过程。支架植入后随访42个月,6个月时的血管造影复查显示效果良好,神经症状消退。分析了在血管壁未改变的盘绕状动脉中进行支架置入术的特点。作者提到,对该患者进行颈动脉支架置入是最合适的手术治疗方法。这是首次描述使用支架纠正颈动脉扭曲。

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