颈动脉支架置入术后并发症及处理方法的探讨.pdfVIP

718 重庆医学2008年4月第37卷第7期 · 临床研究 · 颈动脉支架置入术后并发症及处理方法的探讨 贾晓军，陈 阳，张 猛，杨 珩，周华东△ (第三军医大学大坪医院野战外科研究所神经内科，重庆400042) 摘 要：目的 探讨颈动脉支架置入术后并发症特点及正确处理方法。方法 51例经DSA检查确诊的颈动脉狭窄患者置 入颈动脉支架，观察术后并发症特点并给予积极的相应治疗。结果 术后并发症中血压下降44．7 (21／47)、心动过缓31．9 (15／47)、心动过速 10．6 (5／47)、高灌注综合征6．4 (3／47)、脑栓塞4．3 (2／47)和消化道出血2．1 (1／47)。不同支架组血 压下降发生率分别为47．6 (10／21)、38．1 (8／21)和 14．3 (3／21)，心动过缓发生率分别为61．o (9／15)、26．7 (4／15)和 13．3 (2／15)，组间发生率差异无统计学意义(Po、05)。所有并发症经积极治疗后，均未留下严重后果。结论 颈动脉支架置 入术后并发症主要有血压下降和心动过缓，支架置入不同数目组间并发症发生率差异无统计学意义，对并发症可以成功救治。 关键词：颈动脉狭窄；支架置入术；并发症 中图分类号：R653；R619 文献标识码：A 文章编号：1671-8348(2008)07—0718—03 Discussion of characteristics and treatment of complications after carotid artery stenting j IA Xiao—jun，CHEN Yang，ZHANG Meng，et a1． (Department o厂Neurology，Daping Hospital，Third Military Medical University，Chongqing 400042，China) Abstract：Objective To evaluate the therapeutic effects，characteristics of complications after carotid artery stenting(CAS)． Methods One or two or three stents were deployed in 5 1 patients with the carotid stenosis diagnosed by DSA，complications after operation were observed and treated．Results The postoperative complications included hypotension 44．7 (2 1／47)，bradycardia 31．9 (15／47)，tachycardia 10．6 (5／47)，hyperperfusion syndrome 6．4 (3／47)，cerebral embolism 4．3 (2／47)and hemor— rhage in alimentary cana1 2．1 (1／47)．For the patients of different stents，the rates were 47．6 (10／21)，38．1 (8／21)and 14． 3 (3／21)in hypotension，61．0 (9／15)，26．7 (4／15)and 13．3 (2／15)in bradycardia，there was no significant in patients be— tween different groups．No serious results were observed after active treatment．Conclusion Hypotension and bradycardia are the primary complications after CAS，there are no significant difference in rate