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Clinical Study of PTAS Therapy for Patients with Ischemia Cerebrovascular Disease Caused by Artery Stenosis

Journal of Huazhong University of Science and Technology(Medical Sciences) 2011年第1期31卷 67-72页

作者：刘新通王伟唐洲平曾文高何池忠王丽娟卢海克李昌茂张雄王硕代成波马贵贤杨哲贤马腾云 Department of Neurology Tongji HospitalTongji Medical CollegeHuazhong University of Science and Technology Department of Neurology Guangdong General HospitalGuangdong Academy of Medical Sciences

The curative efficacy of percutaneous transluminal angioplasty and stenting（PTAS） in the treatment of patients with ischemia cerebrovascular disease caused by artery stenosis was *** clinical data of 111 patients with ischemia cerebrovascular disease receiving PTAS in Guangdong Province General Hospital from Aug.2007 to Nov.2009 were retrospectively *** total 132 stents were implanted in the 111 *** mortality and rate of neural and non-neural complications were assessed *** [including the frequency of transient ischemic attack（TIA）,stroke,or death from vascular diseases） were assessed after *** rating was performed in all cases before and at first week,6th month and 12th month after the *** PTAS success rate was 100%.The degree of stenosis was reduced after *** total complication rate during perioperative period was 15.3%（the rate of neural complications was 3.6%）.Sixty-seven patients were followed *** patients（4.48%） developed cerebrovascular events within 1 month,containing one case of TIA,one case of ipsilateral mild stroke and one case of contralateral mild *** severe stroke or death was *** a follow-up period of 12 months 7 patients had cerebrovascular events（10.44%）,including 2 cases of ipsilateral TIA（2.99%）,2 cases of ipsilateral mild stroke and 2 cases of contralateral mild stroke（2.99%）,one case of severe stroke（1.49%）.In 13 patients receiving DSA re-examination one year after PTAS,2 patients（15.38%） had in-stent *** scores were obviously decreased during a follow-up period as compared with those pre-operation（P〈0.05）.It was concluded that PTAS could significantly alleviate the neural function deficit of the patients with ischemia cerebrovascular *** success rate of PTAS was high,and the rate of complications was lower and the clinical outcomes were *** is a safe and effective therapeutic method,though the long-term outcomes n

关键词： percutaneous transluminal angiopiasty and stenting ischemia cerebrovascular disease prognosis

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