颈动脉夹层急性期治疗的初次支架置入术。
Primary stenting for the acute treatment of carotid artery dissection.
作者信息
Vazquez Rodriguez C, Lemaire V, Renard F, De Keuleneer R
机构信息
Department of Vascular Surgery, CHR Val de Sambre, Rue Chère Voie 75, 5060 Sambreville, Belgium.
出版信息
Eur J Vasc Endovasc Surg. 2005 Apr;29(4):350-2. doi: 10.1016/j.ejvs.2004.12.028.
OBJECTIVES
To review and evaluate our experience with carotid artery stenting in the acute treatment of carotid artery dissection (CAD).
PATIENTS AND METHODS
Reviewing the charts of our hospital between 2000 and 2001, we found two consecutive patients who benefited from primary stenting for the acute treatment of spontaneous extracranial internal CAD.
RESULTS
Primary stenting of the internal carotid artery was successful in both cases without any post-operative complications. Clinical and US duplex scan follow-up confirmed the absence of neurological symptoms and the patency of the internal carotid artery with complete disappearance of the dissection at 36 and 42 months after the procedure, respectively.
CONCLUSION
Despite the small number of patients, primary stenting for acute CAD seems to be safe and effective.
目的
回顾并评估我们在颈动脉夹层（CAD）急性治疗中进行颈动脉支架置入术的经验。
患者与方法
回顾我院2000年至2001年期间的病历，我们发现两名连续的患者因原发性支架置入术而受益于自发性颅外颈内动脉CAD的急性治疗。
结果
两例患者颈内动脉原发性支架置入术均成功，且无任何术后并发症。临床及超声双功扫描随访证实无神经症状，颈内动脉通畅，术后36个月和42个月夹层分别完全消失。
结论
尽管患者数量较少，但急性CAD的原发性支架置入术似乎安全有效。
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