Relationship between internal carotid artery stenosis and intravascular pressure difference
10.3969/j.issn.1009-0126.2018.02.005
- VernacularTitle:颈内动脉狭窄与血管内压力差的相关性研究
- Author:
Heshan HOU
1
;
Yuhai GAO
;
Jin SHI
;
Dawei CHEN
;
Xianfeng CHEN
;
Yingqian ZHANG
Author Information
1. 空军总医院神经内科大连医科大学研究生院
- Keywords:
carotid stenosis;
stents;
angiography,digital subtraction;
anticoagulants
- From:Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2018;20(2):130-132
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of stenting on intravascular pressure difference at both ends of stenosis in patients with symptomatic internal carotid artery stenosis (CAS).Methods Eleven patients with moderate-severe internal CAS were included in this study.Their distal mean arterial pressure was measured by pushing the pressure guide wire into the distal end of stenosis and the proximal mean arterial pressure was measured by placing the pressure receptor connecting pipe into the proximal end of stenosis.The intravascular pressure difference at both ends of stenosis was calculated.Correlation between the stenosis rate and intravascular pressure difference at both ends of stenosis was analyzed by Spearman correlation analysis.The intravascular pressure difference before and after stenting was analyzed according to the Wicoxon test.Results Complete intravascular pressure difference value was detected in 11 CAS patients before and after operation.No complications and adverse events occurred during the perioperative period.The stenosis rate was 64％-95％ (74.18％±8.70％) and 0％30％ (12.64％±11.07％) respectively before and after operation.The intravascular pressure was 5-72 (15.64±19.64) mm Hg before operation and was 0-9 (2.64±2.69) mm Hg after operation (P=0.035,P=0.000).Spearman correlation analysis showed that the stenosis rate was positively related with the intravascular pressure difference (r=0.767,P＜0.01).Conclusion Carotid artery stenting can reduce both the stenosis rate and intravascular pressure difference at both ends of stenosis.
