目的探讨在有条件的基层医院开展缺血性脑血管病脑血管造影检查及颈动脉狭窄治疗的疗效及可行性。方法选择30例临床NHISS评分6～10分的缺血性脑血管事件患者,进行脑血管造影,对狭窄率大于50%者给予支架成形术。术后7d进行NHISS评分,并长期随访。结果治疗30例患者,共计应用颈动脉支架32枚,所有患者支架释放准确,症状不同程度改善,围手术期无死亡、脑梗死、脑出血等严重并发症;平均随访29个月,未再发生脑血管事件及再狭窄、支架内血栓形成。结论在有神经内科并具备一定条件的基层医院可以开展脑血管造影检查及颈动脉支架成形术。 Objective To investigate the efficacy and feasibility of conducting ischemic cerebrovascular angiography and carotid artery stenosis in qualified primary hospitals. Methods Thirty patients with ischemic cerebrovascular events with a clinical NHISS score of 6 to 10 were enrolled in this study. Cerebral angiography was performed. Stentoplasty was performed on stenosis rates greater than 50%. The NHISS score was performed 7 days after operation and was followed up for a long time. Results Thirty patients were treated with a total of 32 carotid stents. All the patients received accurate stent release and improved symptoms to some degree. There were no serious complications such as death, cerebral infarction and cerebral hemorrhage during perioperative period. The patients were followed up for an average of 29 months without recurrence Cerebrovascular events and restenosis, stent thrombosis. Conclusions Cerebral angiography and carotid stenting can be performed in primary hospitals with neurology and certain conditions.