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目的总结128例经皮腔内血管成形及支架植入术(PTAS)治疗缺血性脑血管病的并发症及其处理。方法回顾128例缺血性脑血管病患者PTAS治疗后的并发症及处理方案。结果所有患者均随访,期限1～22个月。发生穿刺部位血肿13例,其中假性动脉瘤1例;颈动脉窦反应37例,高灌注综合征6例,缺血性脑卒中7例,延迟性脑出血1例,死亡4例。结论严格术前准备、术中正规操作、术后正规治疗可明显降低PTAS的围手术期并发症和远期并发症。
Objective To summarize the complications and management of 128 cases of percutaneous transluminal angioplasty and stenting (PTAS) for the treatment of ischemic cerebrovascular disease. Methods A retrospective review of 128 patients with ischemic cerebrovascular disease after PTAS complications and treatment options. Results All patients were followed up for a period of 1 to 22 months. There were 13 cases of puncture site hematoma, of which 1 case of pseudoaneurysm; 37 cases of carotid sinus response, 6 cases of high perfusion syndrome, ischemic stroke in 7 cases, delayed cerebral hemorrhage in 1 case, 4 died. Conclusions Strict preoperative preparation, regular operation and postoperative formal treatment can significantly reduce the perioperative complications and long-term complications of PTAS.