Diagnosis Of Ischemiccerebrovascular Disease And Individual Treatment

Purpose To discuss the excellence and valuation on the early diagnosis of ischemic cerebrovascular disease on DSA. At the same time, to study the indication of choices, technical operations, effects and complications, on PTAS in the treatment of ischemic cerebral vascular diseaseMethod A retrospective analysis was conducted with a total of 79 patients with ischemia cerebrovascular disease, who were once in the neurology internal medicine of the NO.5 hospital in Jinan from 9th 2007 to 12th 2009.A11 the patients were examined by line neck vascular ultrasonic, cranial more general Doppler ultrasonic (TCD),and standard aorta and cerebral digital subtraction angiography(DSA).To clear the narrow parts of the large artery of aorta arch (subclavian artery, and common carotid artery, and vertebral artery cranial outside skull) and cranial artery. and the degree for the evaluation before the operation. We have select 59arteris from 54cases. to be treated by PTAS according to the indications and contraindications of the intervention for the ischemia cerebrovascular disease After operation, immediately marking the area with Dash and and follow-up6a months-1 years. Dash examination results, clinical analysis of efficacy and complications of interventional therapy.Results 69 patients of 79 cases have the large artery of aorta arch r and cranial artery. disease. There were 76 pieces of macrovasculars:8 in subclavian artery,3in no-name artery,31 in common carotid artery and internal carotid artery,8 in vertebral-basilar artery,12 in middle cerebral artery,2 in posterior cerebral artery,1 in anterior cerebral artery,1 in posterior inferior cerebellar artery. The degree of artery disease:11 closed,22 narrow(>70%),23 narrow(50%～69%),20narrow(< 50%).There were 2 aneurysms and 2changes as bead in vertebral artery. Reatment 54 Of patients 59 Veins, placed a total of self-expanding stent 64, Technology success rates 86.4%。Immediate contrast display bracket reset into 31 support vascular no residual narrow,12support vascular residual narrow 10%～20%. 5 support vascular residual narrow30%, 3support vascular residual narrow40%, by bracket within ball SAC expansion Hou residual narrow10%. Immediate contrast display rate of residual lesions in arterial stenosis0～30%(average rate of narrow7.6%), patients with preoperative symptoms significantly eased or disappeared. Perioperative 1cases there are a small amount cerebral hemorrhage,1 cases of stroke occurs,4cases of blood pressure reduction.36cases of patients with postoperative follow-up of 6 months -1 year, does not appear related to the treatment of vascular and nervous system symptoms and signs. Cervical vascular ultrasound and TCD has found2 cases related to the treatment of restenosis.Conclusion DSA has been the most important diagnosia ischemic cerebral vascular disease and it has important value in the guidance to the preoperative work and evaluation to the postoperative operation.PTAS is a new method for treatment of ischemic cerebral vascular disease:minimally invasive, safe and effective, and certain short-term therapeutic effects. Skilled and normal operations are the key to successed to PTAS.