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症状性颅内椎基底动脉狭窄择期支架置入术的长期疗效

Long-term outcome of elective stenting for symptomatic intracranial vertebrobasilar stenosis.

作者信息

Jiang W J, Xu X T, Du B, Dong K H, Jin M, Wang Q H, Ma N

机构信息

Neurovascular Angioplasty Team, Department of Neurology, Beijing Tiantan Hospital, The Capital University of Medical Sciences, Beijing, China.

出版信息

Neurology. 2007 Mar 13;68(11):856-8. doi: 10.1212/01.wnl.0000256713.23864.be.

Abstract

Seventy-nine consecutive patients with symptomatic atherosclerotic stenosis > or = 50% of intracranial vertebrobasilar artery (VBA) were treated by elective stenting. There were five strokes within 30 days, and three strokes in the VBA territory after 30 days (mean of 812 days). The annual stroke rate in the VBA territory (including any stroke and death within 30 days) was 4.6%. At the last follow-up time, 73 patients were independent (modified Rankin scale grade < or = 2). The outcome compares favorably with medical therapy.

摘要

79例有症状的颅内椎基底动脉(VBA)粥样硬化性狭窄≥50%的连续患者接受了择期支架置入治疗。30天内发生5例卒中,30天后在VBA区域发生3例卒中(平均812天)。VBA区域的年卒中率(包括30天内的任何卒中及死亡)为4.6%。在最后一次随访时,73例患者为独立状态(改良Rankin量表分级≤2级)。该结果与药物治疗相比更具优势。

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