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中华介入放射学电子杂志

中华介入放射学电子杂志 ›› 2015, Vol. 03 ›› Issue (03) : 115 -118. doi: 10.3877/cma.j.issn.2095-5782.2015.03.001

所属专题： 文献；

神经介入

Solitarie支架在颅内动脉硬化性狭窄治疗中的应用
刘赫1, 钟红亮1, 贾建文1, 李荧1, 孙永全1,†()   
  1. 1. 100020　首都医科大学附属北京朝阳医院神经介入科
  • 收稿日期:2015-08-13 出版日期:2015-08-01
  • 通信作者: 孙永全

Application of solitaire stents in treatment of intracranial arterial atherosclerotic stenosis

He Liu1, Hongliang Zhong1, Jianwen Jia1, Ying Li1, Yongquan Sun1,†()   

  1. 1. Department of Interventional Neuroradiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
  • Received:2015-08-13 Published:2015-08-01
  • Corresponding author: Yongquan Sun
  • About author:
    Corresponding author: Sun Yongquan, Email:
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引用本文：

刘赫, 钟红亮, 贾建文, 李荧, 孙永全. Solitarie支架在颅内动脉硬化性狭窄治疗中的应用[J]. 中华介入放射学电子杂志, 2015, 03(03): 115-118.

He Liu, Hongliang Zhong, Jianwen Jia, Ying Li, Yongquan Sun. Application of solitaire stents in treatment of intracranial arterial atherosclerotic stenosis[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2015, 03(03): 115-118.

目的

探求Solitaire自膨支架对颅内动脉狭窄疗效的可行性。

方法

回顾总结5例颅内动脉狭窄患者，实施球囊扩张Solitaire支架成形术，共留置支架6枚。病变部位位于大脑中动脉M1段3例，基底动脉段1例，颈内动脉前床突段1例；病变长度为(8±2.9)mm，狭窄率为(73±8.5)%。

结果

手术成功率100%，术后残余狭窄率为(14±4.2)%。DSA随访平均时间10.5个月，无支架内再狭窄发生；1例患者术后出现患侧TIA发作两次。

结论

使用Solitaire自膨支架可以对颅内重度狭窄病变行支架成形术具有一定可行性，但需更进一步研究。

关键词: 颅内动脉, 狭窄, 支架
Objective

To explore the feasibility of Solitaire self-expanding stent in the treatment of intracranial arterial stenosis.

Methods

Five patients with intracranial arterial atherosclerotic stenosis were reviewed, in whom angioplasty with solitaire stents were performed, and a total of 6 stents were placed. Lesions located in the middle cerebral artery M1 segment in 3 cases, basilar artery segment in 1 case, and internal artery C2 segment in 1 case. The length of lesion was (8+2.9)mm, the stenosis rate was (73+8.5)%.

Results

All patients were received Solitaire stents implanation successfully. Residual stenosis rate was (14+4.2)%. The mean follow-up time of DSA was 10.5 months, no stent restenosis occurred. Twice transient ischemia attack were happened in 1 patient.

Conclusions

The use of Solitaire self-expanding stent could be feasibility for angioplasty for severe intracranial stenosis, but it needs further study.

Key words: Intracranial artery, Stenosis, Stents
图1 患者右侧大脑半球多发梗塞（A），DSA显示：右侧大脑中动脉M1段重度狭窄（B），行Solitaire支架成形术后，狭窄改善明显（C），术后6个月复查DSA显示，病变动脉管腔通畅，无支架内再狭窄（D）
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