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目的探讨表现为神经系统症状的锁骨下动脉窃血综合征患者血管腔内技术治疗的可行性和有效性。方法对26例锁骨下动脉窃血综合征患者的临床资料进行回顾性分析。临床均表现为头晕等神经系统症状,部分合并上肢缺血症状。运用血管腔内技术对锁骨下动脉进行球囊扩张成形及支架植入术。结果 26例患者均成功植入球囊扩张式支架。术后双上肢收缩压差显著改善,神经系统症状消失或改善23例,无效3例。随访期间再狭窄1例,支架断裂1例。结论严格掌握适应证,采用腔内技术治疗锁骨下动脉窃血综合征的神经系统症状安全有效,操作简单。
Objective To investigate the feasibility and effectiveness of endovascular techniques for the treatment of subclavian steal syndrome with neurological symptoms. Methods The clinical data of 26 patients with subclavian steal syndrome were retrospectively analyzed. Clinical manifestations of dizziness and other neurological symptoms, some of the symptoms of upper limb ischemia. Endovascular techniques were used to perform balloon dilatation and stent implantation on the subclavian artery. Results All the 26 patients were successfully implanted with balloon-expandable stent. Postoperative systolic blood pressure in both upper limbs significantly improved, the disappearance or improvement of neurological symptoms in 23 cases, 3 cases were ineffective. One case of restenosis and one case of stent fracture during follow-up. Conclusion Strict indications, the use of endovascular techniques in the treatment of subclavian arterial steal syndrome is a safe and effective neurological symptoms, easy to operate.