[1]郭连瑞 谷涌泉* 佟铸 李学锋 郭建明 高喜祥 张建 汪忠镐.右侧肱动脉入路左颈动脉支架成形术治疗颈内动脉狭窄合并牛型主动脉弓1例报告[J].中国微创外科杂志,2014,14(5):475-478.
　Guo Lianrui,Gu Yongquan,Tong Zhu,et al.Carotid Artery Stenting via Right Brachial Access for Left Carotid Stenosis in Bovine Arch：a Case Report[J].Chinese Journal of Minimally Invasive Surgery,2014,14(5):475-478.
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右侧肱动脉入路左颈动脉支架成形术治疗颈内动脉狭窄合并牛型主动脉弓1例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
14
期数:
2014年5期
页码:
475-478
栏目:
病例报告
出版日期:
2014-05-20

文章信息/Info

Title:
Carotid Artery Stenting via Right Brachial Access for Left Carotid Stenosis in Bovine Arch：a Case Report
作者:
郭连瑞 谷涌泉* 佟铸 李学锋 郭建明 高喜祥 张建 汪忠镐
首都医科大学宣武医院血管外科首都医科大学血管外科研究所，北京100053
Author(s):
Guo Lianrui;  Gu Yongquan;  Tong Zhu; et al.
Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Institute of Vascular Surgery of Capital Medical University, Beijing 100053, China
关键词:
颈内动脉狭窄; 颈动脉支架置入术; 肱动脉入路; 牛型主动脉弓; 主动脉弓异常
Keywords:
Carotid artery stenosis; Carotid artery stenting; Transbrachial access; Bovine arch; Aortic arch abnormality
分类号:
R654.3
文献标志码:
D
摘要:
2013年10月我科收治1例63岁女性左颈动脉狭窄，有左侧脑梗死病史并频繁出现一过性脑缺血发作（transient ischemic attack，TIA)。术前CTA检查为牛型主动脉弓，左侧颈内动脉起始部重度狭窄，但位于C2水平不适合行颈动脉内膜切除术。采用全麻下经右侧肱动脉入路穿刺，造影导管选入左颈外动脉，加硬导丝引导F6长鞘选入左颈总动脉建立手术通路，然后常规进行保护伞下的颈动脉球囊扩张和支架成形术。手术成功，未发生任何并发症。术后1个月随访，TIA症状完全消失，颈动脉超声提示左颈内动脉支架术后血流通畅。我们认为经右侧肱动脉入路行支架成形术治疗牛型主动脉弓变异的左侧颈内动脉狭窄是安全、可行的。
Abstract:
A 63yearold female patient suffering from stroke and subsequent frequent transient ischemic attack (TIA) was treated with carotid artery stenting (CAS) in October 2013 in our department. Preoperative CTA revealed a tight stenosis of the left carotid artery in the bovine arch, but the high location of carotid lesion was not suitable for carotid endarterectomy. Using the right brachial artery as access, we carried out CAS with a F6 long sheath advancing into the left common carotid artery. A Spider Embolic protection device was positioned within the left internal carotid artery distal to the stenosis, then the lesion was routinely dilated, and followed by satisfactory deployment of a selfexpending Protege stent. CAS was performed successfully without any complication. The patient recovered well and TIA totally disappeared. Carotid ultrasound showed a patent left carotid artery stent during the onemonth followup. CAS via the right brachial artery for left carotid stenosis in the bovine arch is feasible and safe.

参考文献/References:

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备注/Memo

备注/Memo:
*通讯作者，Email：15901598209@163.com
更新日期/Last Update: 2014-12-08