1、 脑动脉支架治疗相关的脑过度灌注综合征广东省人民医院神经科王 硕脑过度灌注综合症 (Cerebral Hyperperfusion Syndrome, CHS） 1981年 sundt等 颈动脉内膜切除术 颅内动静脉畸形切除术 由于原先低灌注区脑血流量显著增加超过脑组织代谢需要而引起的一种严重并发症 治疗后5-7天 随着颈动脉成形和支架植入术的广泛开展,相关的病例报道逐渐增多, 术后的发生率在1.1%-6.8%之间 Intracranial hemorrhage associated with cerebral hyperperfusion syndrome following carotid
2、 endarterectomy and carotid artery stenting: retrospective review of 4494 patients. J Neurosurg. 2007 Dec;107(6):1130-6. Department of Neurosurgery, Iwate Medical University, Morioka, Japan. Retrospective study for hyperperfusion syndrome in 4494(CEA1596,CAS2898)Rate of hyperperfusion:1.4% including
3、 hemorrhage(0.6%)Peak of hyperperfusion: CEA 6th day, CAS within 12hrsRate of hyperperfusion:CEA1.9%,CAS1.1%Rate of hemorrhage associated with hyperperfusion:CEA0.4%,CAS0.7%Pattern of hemorrhage: CEA ICH, CAS ICH+-SAHPoor prognosis in cases associated with hemorrhage 男性， 56 岁 诊断：右侧脑梗塞双侧颈内动脉狭窄高血压病3级、极高危右颈内动脉重度狭窄左侧颈内动脉狭窄右侧颈内动脉支架术后
