症状性椎基底动脉狭窄患者支架成形术治疗的分析(2)
总之,VBI作为临床神经内科的一个常见病、多发病,对其病因的诊断非常关键。椎基底动脉的DSA检查为我们重新认识其血管病变在VB I病理生理中的机制提供了有力的手段,通过血管介入方式进行血管成形支架置入治疗为临床VBI的治疗又提供了一个有效且微创的治疗途径。虽然目前国内神经内科脑血管病血内介入治疗开展时间不长,且有许多需要进一步探索和规范的地方,但脑血管病的血管内介入诊断及治疗将是今后几年脑血管病诊断治疗学发展的一个新的方向。
[参考文献]
[1] Gondim FA,Cruz Flores S,Moore J,et al. Angiop lasty and stenting for symp tomatic basilar artery stenosis[J]. J Neuroimaging, 2002, 12(1):55-58.
[2] Barakate MS,Snook KL,Harrington TJ,et al. Angiop lasty and stenting in the posterior cerebral circulation[J]. J Endovasc Ther,2001, 8(6):558 -565.
[3] 迟路湘,范文辉,史树贵,等. 经皮腔内血管成形和支架植入成功治疗大脑后动脉狭窄1例[J]. 第三军医大学学报,2005,27(8):788.
[4] 李国彬,杨新生. 症状性颈、椎动脉狭窄的血管内治疗[J]. 国外医学:神经病学神经外科学分册,2003,30(4):365-368.
[5] Higashida RT,Tsai FY,Halbach VV,et al. Transluminalangiop lasty,thrombolysis,and stenting for extracranial and intracranial cerebral vascular disease[J]. Journal of Interventional Cardilolgy, 1996, 9(3):245.
[6] Higashida RT,Hieshima GB,Tsai FY,et al. Percutaneous transluminal angiop lasty of the subclavian and vertebral arteries[J]. Acta Radiol,1986,3(6):124.
[7] Wakhloo AK,Tio FO,Lieber BB,et al. Self-expanding nitinol stentsin canine certebral arteries: hemodynamics and tissue response[J]. AJNR Am J Neuroradiol,1995,1(6):1043.
[8] 吉训明,凌峰,李慎茂,等. 血管内支架置入术治疗高危颈动脉狭窄[J]. 中华放射学杂志,2003,3(7):542-546.
(收稿日期:2009-03-11), 百拇医药(田方起 李 斌 苏 兰 练 红)
[参考文献]
[1] Gondim FA,Cruz Flores S,Moore J,et al. Angiop lasty and stenting for symp tomatic basilar artery stenosis[J]. J Neuroimaging, 2002, 12(1):55-58.
[2] Barakate MS,Snook KL,Harrington TJ,et al. Angiop lasty and stenting in the posterior cerebral circulation[J]. J Endovasc Ther,2001, 8(6):558 -565.
[3] 迟路湘,范文辉,史树贵,等. 经皮腔内血管成形和支架植入成功治疗大脑后动脉狭窄1例[J]. 第三军医大学学报,2005,27(8):788.
[4] 李国彬,杨新生. 症状性颈、椎动脉狭窄的血管内治疗[J]. 国外医学:神经病学神经外科学分册,2003,30(4):365-368.
[5] Higashida RT,Tsai FY,Halbach VV,et al. Transluminalangiop lasty,thrombolysis,and stenting for extracranial and intracranial cerebral vascular disease[J]. Journal of Interventional Cardilolgy, 1996, 9(3):245.
[6] Higashida RT,Hieshima GB,Tsai FY,et al. Percutaneous transluminal angiop lasty of the subclavian and vertebral arteries[J]. Acta Radiol,1986,3(6):124.
[7] Wakhloo AK,Tio FO,Lieber BB,et al. Self-expanding nitinol stentsin canine certebral arteries: hemodynamics and tissue response[J]. AJNR Am J Neuroradiol,1995,1(6):1043.
[8] 吉训明,凌峰,李慎茂,等. 血管内支架置入术治疗高危颈动脉狭窄[J]. 中华放射学杂志,2003,3(7):542-546.
(收稿日期:2009-03-11), 百拇医药(田方起 李 斌 苏 兰 练 红)