Operative strategy of cerebral ischemia induced by extra-and intracranial artery stenosis using endovascular stent angioplasty

VernacularTitle:血管内支架成形术治疗颅内缺血的手术策略
Author: He LIU ; Tong LI ; Ying LI ; Zheng GU ; Yongquan SUN
Publication Type:Journal Article
Keywords: Angioplasty; Stents; Brain ischemia
From: Chinese Journal of Geriatrics 2012;31(2):102-104
CountryChina
Language:Chinese
Abstract: Objective To explore the therapeutic strategy for intracranial ischemia due to extraand intracranial artery stenosis using endovascular stent angioplasty.Methods Totally 109 patients with extra-and/or intracranial artery stenosis were treated by endovascular stent in our hospital from March 2008 to September 2011.There were 93 cases with single stenostic lesion,16 cases with multiple stenosis and 5 cases with distal unruptured aneurysm.All patients received endovascular stentings and 94 cases were followed up for 3 20 months.Results All of the patients underwent endovascular stenting placement successfully.The average stenosises were(79.2 ± 13.4)％ before operation and(18.1 ± 9.20)％ after operation.During follow-up for(10.8 ± 4.2)months,mild restenosis occurred in 9 stenosises(7.0％)among 129 lesions and no serious stroke event was found.Conclusions Endovascular stent is safe and effective in treating extra and intracranial stenosis.It is important to investigate adequately cerebral blood flow in the multiple stenosis or in complicating other kind of vascular diseases before proper treatments.