摘要目的 观察血管内支架置入术治疗颈动脉狭窄的疗效和安全性.方法 选择北京航天总医院住院的经颈部超声检查及全脑血管造影提示颈内动脉狭窄患者16例,全部病例行经皮腔内血管成形和支架植入术治疗.结果 16例患者成功置入支架17枚,术后1例患者出I现心率减慢和血压下降;短期随访6个月未出现新发脑卒中和短暂性脑缺血发作,TCD检查末发现明显颈内动脉支架部位再狭窄,支架形态无改变.结论 颈内动脉自膨式支架置人术治疗颈内动脉粥样硬化狭窄安全有效,但仍需随机对照研究进行长期疗效观察.

abstractsObjective To observe the safety and efficiency in endovascular stenting for carotid artery stenosis. Methods 16 patients with carotid stenusis were treated with endovascular stenting from 2004 to 2006, all cases were confirmed by TCD or DSA. Results 16 stentim plantations were successful. None of the patients had a serious complication during the procedures. All the patients were followed up for 6 months. No new transient ischemia attack or stroke was found and color Doppler inspect show no restenosis happened. Conclusion Endovascular stenting is a safe and probably effective method in the treatment of carotid artery stenosis. The design of a randomized ,controlled trial for observing its efficacy and sideeffects is badly need.