论文部分内容阅读
目的评价锁骨下动脉起始部完全闭塞血管内机械开通的方法、安全性和效果。方法对13例(13支)锁骨下动脉起始部完全闭塞并椎基底动脉缺血发作患者,根据造影显示血管近端闭塞形态,进行了血管内顷行和或逆行机械开通手术,在球囊扩张后置入了自膨式支架。结果13例锁骨下动脉完全闭塞患者全部开通成功并实施了支架成形术,无临床并发症出现,随访6～49个月(平均32个月),均无椎基底动脉脑缺血发作,B超、TCD检查显示无再狭窄,椎动脉呈正向血流无盗血现象。结论血管内机械性开通完全性闭塞的锁骨下动脉只要方法正确是完全可能的,是安全、有效的。
Objective To evaluate the method, safety and efficacy of mechanical occlusion of the complete subclavian artery at the beginning of subclavian artery. Methods Thirteen patients (13 patients) with complete occlusion of the origin of subclavian artery and vertebrobasilar arterial occlusion were enrolled in this study. Intravenous and / or retrograde mechanical open surgery was performed according to the angiographic findings of proximal vascular occlusion. After expansion into the self-expanding stent. Results Thirteen patients with complete subclavian artery occlusion were successfully performed and stenting was performed. There was no clinical complication. All the patients were followed up for 6 to 49 months (mean, 32 months), without vertebrobasilar cerebral ischemia. , TCD examination showed no restenosis, vertebral artery showed a positive blood flow without steal phenomenon. Conclusion It is entirely possible that the intravascular mechanical opening of the completely occluded subclavian artery is correct and safe and effective.