Kachel R, Basche S, Heerklotz I, Grossmann K, Endler S
Clinic of Radiology, Medical Academy Erfurt, Federal Republic of Germany.
Neuroradiology. 1991;33(3):191-4. doi: 10.1007/BF00588215.
We present our experience with 105 patients in whom percutaneous transluminal angioplasty was performed in 112 stenosed or occluded supra-aortic arteries. Symptoms of cerebrovascular and/or vertebrobasilar insufficiency were present in 104 of the 105 patients. The angioplasty was successful in 35 stenoses of the internal carotid artery, 2 stenoses of the common carotid artery, 1 stenosis of the external carotid artery, 15 stenoses of the vertebral artery, 3 stenoses of the innominate artery and 44 stenoses of the subclavian artery. There were only 4 minor-complications (2 haematomas, 1 transient ischemic attack, 1 small thrombus of the internal carotid artery which was detected by 111-indium platelet scintigraphy and treated by thrombendarterectomy before the appearance of neurological symptoms). All patients were symptom free after angioplasty. During the observations period of 3 to 109 months (average 58 months) there were only two cases with re-stenosis after subclavian angioplasty. The results of more than 700 personal and international published percutaneous transluminal angioplasties of supra-aortic arteries are presented. The results suggest that angioplasty of supra-aortic arteries is an effective method. On strict definition of the indications, the complication rate for angioplasty of the supra-aortic arteries is not likely to be higher than that for operative treatment.
我们介绍了对105例患者的治疗经验，这些患者的112条主动脉弓以上狭窄或闭塞动脉接受了经皮腔内血管成形术。105例患者中有104例存在脑血管和/或椎基底动脉供血不足的症状。血管成形术成功治疗了35例颈内动脉狭窄、2例颈总动脉狭窄、1例颈外动脉狭窄、15例椎动脉狭窄、3例无名动脉狭窄和44例锁骨下动脉狭窄。仅出现4例轻微并发症（2例血肿、1例短暂性脑缺血发作、1例颈内动脉小血栓，通过铟-111血小板闪烁显像检测到，在出现神经症状之前通过动脉内膜血栓切除术进行了治疗）。血管成形术后所有患者均无症状。在3至109个月（平均58个月）的观察期内，锁骨下动脉血管成形术后仅2例出现再狭窄。本文还展示了700多例个人及国际上已发表的主动脉弓以上动脉经皮腔内血管成形术的结果。结果表明，主动脉弓以上动脉血管成形术是一种有效的方法。严格定义适应证后，主动脉弓以上动脉血管成形术的并发症发生率不太可能高于手术治疗。
