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采用 Apollo 球囊扩张支架治疗基底动脉狭窄:单中心 61 例连续病例经验。

Treatment of basilar artery stenosis with an Apollo balloon-expandable stent: a single-centre experience with 61 consecutive cases.

机构信息

The Cerebrovascular Disease Center, Xingtai Third Hospital, No. 108, Steel Road (North), Qiaoxi District, Xingtai, 054000, Hebei, China.

出版信息

Acta Neurol Belg. 2021 Dec;121(6):1423-1427. doi: 10.1007/s13760-020-01311-8. Epub 2020 Feb 25.

Abstract

Stent placement for basilar artery (BA) stenosis remains a technical and clinical challenge. This retrospective study introduces the experience with the Apollo balloon-expandable stent (BES) for patients with symptomatic BA stenosis in a single centre in China. Sixty one patients who had undergone intervention for severe symptomatic BA stenosis between May 2012 and September 2018 were enrolled in this study. All patients underwent angioplasty and stenting with an Apollo BES and were followed-up continuously. The technical success rate was 100%. During the procedure, there was no vessel rupture or dissection. Two patients died due to perforator occlusion. One patient developed vasospasm with no symptoms. The rate of complications during the procedure was 4.91% (3/61). BA stent-related stroke or death rates were 4.9% at 30 days (3/61), 6.6% at 3 months (4/61), and 6.6% (4/61) at 6 months. One patient had stent occlusion at 6 months with no symptoms. Restenosis was found in five patients with degrees of restenosis greater than ≥ 50% without any symptoms. In this study, the Apollo BES appeared to be feasible for BA stenosis. Our experience may be valuable for reducing the number of complications. However, further study is needed.

摘要

支架置入治疗基底动脉(BA)狭窄仍然是一个技术和临床挑战。本回顾性研究介绍了在中国一家中心应用 Apollo 球囊扩张支架(BES)治疗有症状的 BA 狭窄患者的经验。2012 年 5 月至 2018 年 9 月,共 61 例因严重症状性 BA 狭窄而行介入治疗的患者纳入本研究。所有患者均采用 Apollo BES 进行血管成形术和支架置入,并进行连续随访。技术成功率为 100%。在手术过程中,没有血管破裂或夹层。2 例患者因穿支闭塞而死亡。1 例患者出现无症状性血管痉挛。术中并发症发生率为 4.91%(3/61)。BA 支架相关卒中或死亡率为 30 天 4.9%(3/61),3 个月 6.6%(4/61),6 个月 6.6%(4/61)。1 例患者在 6 个月时出现支架闭塞,但无症状。5 例患者出现再狭窄,再狭窄程度大于≥50%,但无任何症状。在本研究中,Apollo BES 似乎可用于治疗 BA 狭窄。我们的经验可能有助于减少并发症的发生。但仍需要进一步研究。

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