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

来源 :华中科技大学学报(医学)(英德文版) | 被引量 : 0次 | 上传用户:shazishidaoo
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
The curative efficacy of percutaneous transluminal angioplasty and stenting (PTAS) in the treatment of patients with ischemia cerebrovascular disease caused by artery stenosis was explored.The clinical data of 111 patients with ischemia cerebrovascular disease receiving PTAS in Guangdong Province General Hospital from Aug.2007 to Nov.2009 were retrospectively analyzed.In total 132 stents were implanted in the 111 patients.The mortality and rate of neural and non-neural complications were assessed perioperatively.Outcomes [including the frequency of transient ischemic attack (TIA),stroke,or death from vascular diseases) were assessed after operation.NIHSS rating was performed in all cases before and at first week,6th month and 12th month after the operation.The PTAS success rate was 100%.The degree of stenosis was reduced after PTAS.The total complication rate during perioperative period was 15.3% (the rate of neural complications was 3.6%).Sixty-seven patients were followed up.Three 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 stroke.No severe stroke or death was observed.During 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 restenosis.NIHSS 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 disease.The success rate of PTAS was high,and the rate of complications was lower and the clinical outcomes were satisfactory.PTAS is a safe and effective therapeutic method,though the long-term outcomes need further study.
其他文献
已有视图度量无法同时描述3维模型整体和局部细节特征,因此难以得到理想的最优视图。提出一种结合统计分类和视图边缘细节特征的最优视图提取算法。首先,采用Adaboost进行样例学习,通过最优视图之间的几何特征相似性得到候选视图集合。然后,定义边缘分布熵对候选视图进行局部特征分析,用以提取最优视图,从而使提取出来的最优视图能够有效描述出3维模型的结构特征和内在细节特征,符合人类视觉感知效果。最后,通过3
以常规油菜(Brassica napus L.)华双5号为材料,调查分析了棉田套播油菜的产量表现和产量差异原因,研究了播期和密度对棉田套播油菜产量及构成因素的影响。结果表明,①棉田套
1739年《宾夕法尼亚报》曾揭露屠宰场和制革厂污染河流DockCreek的环境问题。①西方主流媒体对于环境问题的报道开始于20世纪60至70年代。Richael Carson的《寂静的春天》与P
通过分析连通管式挠度测量原理,对挠度修正方法进行了改进。为避免现有方法需要对初始状态参数求取,引入了支持向量机模型以求得挠度传感器更换后的理论值,进而得到挠度偏差
粗集料的三维形态特征对沥青混合料的路用性能有着重要影响。为了获取不同岩性、不同粒径粗集料的三维形状特征,利用粗集料形态特征研究系统,结合数字图像处理技术和数理统计
Pigment epithelium-derived factor (PEDF) is an antiangiogenic factor which is effective in tumour inhibition in a variety of tumours and has not yet been studie
This study aimed to examine the preparation of cationic lipid microbubble (CLM),and evaluate its physical and chemical properties and toxicity,measure the gene
The effects of epigenetic modification on the differentiation of islet cells and the expression of associated genes (Pdx-l,Pax4,MafA,and Nkx6.1,etc) were invest
Antitumor effects of erythromycin and the related mechanism were investigated in the present study.Neuroblastoma cells (SH-SY5Y) were exposed to erythromycin at
The IL-8 and MMP-7 genes participate in the carcinogenesis of many malignancies,but the role of both genes in cervical cancer is not fully elucidated.The aim of