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血管成形术在脑血管疾病治疗中的作用。

The role of angioplasty in the treatment of cerebrovascular disease.

作者信息

Kellogg J X, Nesbit G M, Clark W M, Barnwell S L

机构信息

Department of Neurosurgery and the Dotter Interventional Institute, Oregon Health Sciences University, Portland 97201-3098, USA.

出版信息

Neurosurgery. 1998 Sep;43(3):549-55; discussion 555-6. doi: 10.1097/00006123-199809000-00077.

DOI:10.1097/00006123-199809000-00077
PMID:9733309
Abstract

Percutaneous transluminal angioplasty (PTA), an established treatment of arterial stenosis in coronary, renal, and other peripheral sites, is being applied to the cerebrovascular territory with greater frequency. Early results suggest that PTA may be safe and efficacious in the treatment of extracranial arterial stenosis secondary to atherosclerosis and fibromuscular dysplasia. PTA is also being used with promising results in treating symptomatic intracranial arterial stenosis from atherosclerosis. This review examines PTA in the treatment of cerebrovascular disease, current indications, and results.

摘要

经皮腔内血管成形术(PTA)是治疗冠状动脉、肾动脉及其他外周部位动脉狭窄的既定方法,目前在脑血管领域的应用频率越来越高。早期结果表明,PTA治疗动脉粥样硬化和纤维肌发育异常继发的颅外动脉狭窄可能是安全有效的。PTA用于治疗动脉粥样硬化引起的有症状颅内动脉狭窄也取得了良好效果。本文综述了PTA在脑血管疾病治疗中的应用、当前适应证及治疗结果。

相似文献

1
The role of angioplasty in the treatment of cerebrovascular disease.血管成形术在脑血管疾病治疗中的作用。
Neurosurgery. 1998 Sep;43(3):549-55; discussion 555-6. doi: 10.1097/00006123-199809000-00077.
2
Percutaneous transluminal angioplasty of the carotid artery.经皮腔内颈动脉血管成形术
AJNR Am J Neuroradiol. 1986 Mar-Apr;7(2):349-58.
3
Percutaneous transluminal angioplasty of the vertebral artery. A therapeutic alternative to operative reconstruction of proximal vertebral artery stenoses.椎动脉经皮腔内血管成形术。近端椎动脉狭窄手术重建的一种治疗替代方法。
J Neurol. 1986 Nov;233(6):336-9. doi: 10.1007/BF00313919.
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[The long-term results on arterial pressure and kidney function after the percutaneous transluminal dilatation of renal artery stenosis].经皮腔内肾动脉狭窄扩张术后动脉血压及肾功能的长期结果
Med Clin (Barc). 1997 Mar 15;108(10):366-72.
5
Balloon angioplasty for cerebrovascular disease.用于脑血管疾病的球囊血管成形术。
Neurol Res. 1992;14(2 Suppl):159-63. doi: 10.1080/01616412.1992.11740040.
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Staged coronary artery bypass grafting after percutaneous angioplasty for intracranial vascular stenosis.经皮血管成形术治疗颅内血管狭窄后分期冠状动脉旁路移植术。
J Thorac Cardiovasc Surg. 2001 Sep;122(3):608-10. doi: 10.1067/mtc.2001.115159.
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[Indications for interventional neuroradiology. Arterial lysis, angioplasty and embolizing procedures].[介入神经放射学的适应症。动脉溶栓、血管成形术和栓塞术]
Fortschr Med. 1991 Mar 30;109(9):199-203.
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Percutaneous transluminal angioplasty of nonatherosclerotic lesions.非动脉粥样硬化性病变的经皮腔内血管成形术
AJR Am J Roentgenol. 1980 Nov;135(5):975-82. doi: 10.2214/ajr.135.5.975.
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[Percutaneous transluminal angioplasty for progressing stroke caused by severe basilar artery stenosis: case report].[经皮腔内血管成形术治疗严重基底动脉狭窄所致进展性卒中:病例报告]
No Shinkei Geka. 1994 Mar;22(3):265-8.
10
Angioplasty and Stenting for Intracranial Stenosis.颅内狭窄的血管成形术和支架置入术
Neurol Med Chir (Tokyo). 2014;54 Suppl 2:46-53.

引用本文的文献

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The five ps of acute ischemic stroke treatment: parenchyma, pipes, perfusion, penumbra, and prevention of complications.急性缺血性卒中治疗的五个“P”:实质、血管、灌注、半暗带及并发症预防。
Ochsner J. 2003 Winter;5(1):5-11.
2
Standard Technique of PTA/stenting for Atherosclerotic Intracranial Arterial Stenosis.动脉粥样硬化性颅内动脉狭窄的经皮腔内血管成形术/支架置入术标准技术
Interv Neuroradiol. 2004 Mar 30;10 Suppl 1(Suppl 1):187-9. doi: 10.1177/15910199040100S132. Epub 2008 Jun 9.
3
Pathological Result of Basilar Artery Stenosis Rapidly Progressed and Ruptured with Stent-assisted Angioplasty.
基底动脉狭窄在支架辅助血管成形术后病理结果迅速进展并破裂
Interv Neuroradiol. 2006 Jan 20;12(Suppl 1):214-8. doi: 10.1177/15910199060120S139. Epub 2006 Jun 15.
4
Revascularization of the posterior circulation.后循环血管重建
Skull Base. 2005 Feb;15(1):43-62. doi: 10.1055/s-2005-868162.