Imaging Science and Photochemistry ›› 2020, Vol. 38 ›› Issue (4): 671-675.DOI: 10.7517/issn.1674-0475.191219

• Review and Articles • Previous Articles     Next Articles

Efficacy Analysis of Endovascular Stenting in Elderly Patients with Symptomatic Vertebral Artery Stenosis

CHEN Shangxiong1, TANG Jie2, DU Song1, ZHANG Hui1, SUN Long1, LIU Ping1, MOU Wei1, HAO Yingxue1   

  1. 1. Vascular Surgery Department, The First Hospital Affiliated to Army Medical University, Chongqing 400038, P. R. China;
    2. Special Inspection Lab, Qijiang District People's Hospital of Chongqing, Chongqing 401420, P. R. China
  • Received:2019-12-20 Online:2020-07-15 Published:2020-07-15

Abstract: In this paper, we analyzed the clinical efficacy of endovascular stenting for symptomatic vertebral artery stenosis in elderly patients. A total of 42 aged patients who were diagnosed as symptomatic vertebral artery stenosis were randomly chosen. According to the different methods of treatment, they were divided into two groups:patients who were treated with endovascular stent angioplasty as the experimental group; the other patients as the control group. The patients' recovery time, length of stay, transcranial doppler ultrasound hemodynamic index and the occurrence of adverse cardiovascular events were compared between the two groups. All elderly patients with symptomatic vertebral artery stenosis were followed up for one year to record their prognosis. The results showed that the recovery time and length of hospital stay of elderly patients treated by stent angioplasty were significantly shorter than that of the control group. The change of hemodynamics indexes of the experimental group were better than those in the control group. The incidence of adverse cardiovascular events and prognosis in the experimental group was significantly less than those in the control group. According to above multiple indicators, endovascular stenting has a competitively good effect on symptomatic vertebral artery stenosis in the elderly, and should be used more comprehensively as a new reliable clinical treatment.

Key words: vertebral artery stenosis, elderly patients, SSA (stent-assistant angioplasty), hemodynamics