Closed-cell stents for cervical internal carotid artery pseudo-occlusion and its effects on vessel remodeling
10.3760/cma.j.issn.1007-631X.2018.12.004
- VernacularTitle:闭环型支架治疗颈动脉假性闭塞的疗效和对血管重塑的影响
- Author:
Xiao TANG
1
;
Weiguo FU
;
Bin CHEN
;
Zhenyu SHI
;
Lixin WANG
;
Weimiao LI
;
Hanfei TANG
;
Gefei ZHAO
;
Daqiao GUO
Author Information
1. 200032上海,复旦大学附属中山医院血管外科复旦大学血管外科研究所
- Keywords:
Carotid artery diseases;
Stents;
Stroke
- From:
Chinese Journal of General Surgery
2018;33(12):998-1002
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the closed-cell stents in the treatment of carotid pseudo-occlusion.Methods From Jan 2014 to Dec 2017,clinical data of 34 patients undergoing carotid artery recanalization with closed-cell stents for pseudo-occlusion were analyzed retrospectively.Results The technical success rate was 97.1％ (33/34) and the intracranial blood supply improved in 91.2％ patients (31/34).The 30-day perioperative ipsilateral symptomatic ischemic stroke rate was 2.9％ (1/34).All the patients were discharged with no peri-operative hyperperfusion syndrome,myocardial infarction.The average follow-up time was 15.2 ±7.6 months.The incidence of carotid artery restenosis was 17.6％.There was no stroke-related mortality.Ultrasound or CTA found luminal dilatation of the distal internal carotid artery.The diameter increased from (2.5 ±0.5) mm to (4.1 ±0.6) mm after intervention (P ＜0.001).Conclusion Closed-cell stents for carotid artery pseudo-occlusion is safe and effective,decreasing cerebral stroke and carotid occlusion.
