Deguchi J, Kuroiwa T, Nagasawa S, Satoh G, Ohta T
Department of Neurosurgery, Osaka Medical College; Osaka, Japan.
Interv Neuroradiol. 2000 Nov 30;6 Suppl 1(Suppl 1):149-54. doi: 10.1177/15910199000060S122. Epub 2001 May 15.
There have been few reports of stenting in the intracranial arteries.We used coronary stents in the chronically occluded intracranial vertebral artery and stenosis of internal carotid artery by the external force, and good blood flow were resumed. Stenosis in the intracranial arteries is also a good indication for stent placement when it is due to chronic total occlusion or artery compression by external force. But stent placement in the intracranial arteries has some problems. Stent placement in the intracranial artery is indicated only when the site of stent placement has a diameter of 3 mm or more, is a relatively linear portion of the vertebrobasilar artery or the internal carotid artery proximal to the C3 segment, and does not branch off perforating arteries or is already completely occluded.
关于颅内动脉支架置入术的报道较少。我们将冠状动脉支架用于慢性闭塞的颅内椎动脉以及因外力导致的颈内动脉狭窄,恢复了良好的血流。当颅内动脉狭窄是由慢性完全闭塞或外力压迫动脉引起时,支架置入也是一个很好的适应证。但颅内动脉支架置入存在一些问题。只有当支架置入部位直径在3毫米或以上、是椎基底动脉或C3段近端颈内动脉的相对直线部分、不分支穿动脉或已完全闭塞时,才适合进行颅内动脉支架置入。