[244例对侧颈内动脉闭塞后颈内动脉重建的早期和晚期结果]

[Early and late results following 244 reconstructions of the internal carotid artery with contralateral internal carotid occlusion].

作者信息

Raithel D, Noppeney T, Schweiger H, Wild R, Seitz B

出版信息

Langenbecks Arch Chir. 1985;366:341-5. doi: 10.1007/BF01836661.

Abstract

Between December 1974 and March 1985 244 reconstructions of the internal carotid artery with contralateral occlusion were performed. 7.3% of the patients were asymptomatic, 48.4% had typical transient ischemic attacks and 44.3% had a completed stroke. The postoperative mortality was 2.0% and a permanent neurologic deficit occurred in 3.3%. An intraluminal shunt was used in only 5.4%. The long-term survival rate after 5 years was 65.2 +/- 4.8%. In the follow-up period of 103 months 9.2% of the patients had a new stroke.

摘要

1974年12月至1985年3月期间，对244例伴有对侧颈内动脉闭塞的患者进行了颈内动脉重建术。7.3%的患者无症状，48.4%有典型的短暂性脑缺血发作，44.3%发生了完全性卒中。术后死亡率为2.0%，永久性神经功能缺损发生率为3.3%。仅5.4%的患者使用了腔内分流器。5年后的长期生存率为65.2±4.8%。在103个月的随访期内，9.2%的患者发生了新的卒中。