Mathias K, Bockenheimer S, von Reutern G, Heiss H W, Ostheim-Dzerowycz W
Radiologe. 1983 May;23(5):208-14.
Stenoses of the extracranial cerebral arteries can be successfully treated with percutaneous transluminal dilatation (PTD). Early and late results of PTD are comparable to those of vascular surgery, but are not accompanied by its morbidity and mortality rates. In 32 patients with subclavian steal syndrome PTD showed a technical success rate of 88% and a clinical cure rate of 72%. The fibrodysplastic carotid artery stenosis is well suited for PTD. These lesions often extend to the skull base causing difficulties for surgical correction. First experiences with PTD of atherosclerotic carotid artery stenosis are promising, but the efficacy of this procedure must be confirmed by a greater number of treated patients. PTD of the vertebral and basilar arteries present new therapeutic possibilities in the management of vertebrobasilar insufficiency demanding further evaluation.
经皮腔内血管成形术（PTD）可成功治疗颅外脑动脉狭窄。PTD的早期和晚期结果与血管外科手术相当，但不会伴随其发病率和死亡率。在32例锁骨下动脉盗血综合征患者中，PTD的技术成功率为88%，临床治愈率为72%。纤维发育异常性颈动脉狭窄非常适合PTD治疗。这些病变常延伸至颅底，给手术矫正带来困难。动脉粥样硬化性颈动脉狭窄的PTD初步经验很有前景，但该手术的疗效必须通过更多的治疗患者来证实。椎动脉和基底动脉的PTD为椎基底动脉供血不足的治疗提供了新的治疗可能性，需要进一步评估。
