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《Chinese Journal of Stroke》 2009-01
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The curative effect Analysis of Endovascular Stenting for Stenosis of Internal Carotid artery

WEN Hong-Feng,LI Ji-Lai,DU Ji-Chen.Department of Neurology,Aerospace Center Hospital,Beijing 100049,China  
Objective To investigate the curative effect of endovascular stenting for stenosis of internal carotid artery(ICA) and announcements in specifi c application.Methods 70 patients of ICA stenosis greater than 70% had different degree history of transient ischemic attack(TIA) and cerebral infarction.The 32 cases who were in line with indication of interventional operation were underwent self-expandable stents under brain protectors,others taken only small dose Asp and Plavix every day.All patients were followed-up for one year to evaluate turnover information and restenosis.Results The successful ratio of imbedding stents was 100%.Postoperativeiy residual stenoses were less than 50%,in one year followed-up,in group of endovascular stenting,6 patients still had TIA,2 patients taken placed latest cerebral infarctions(middle size infarctions owing to inside stents restenosis),incidence rate of year stroke was 6.25%;corresponding,in group of taking medicine,4 patients taken placed latest cerebral infarctions(2 middle and 2 big size infarctions),18 patients still had TIA.incidence rate of year stroke was 10.5%.There was statistical signif icance by comparing the one year stroke events of two groups(P0.05).Conclusion Endovascular stent angioplasty under brain protectors is a safe and effective means for treating internal carotid stenosis and preventing stroke,but application of advance angioplasty is still to be discussed.
【CateGory Index】: R743.3
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