目的:探讨锁骨下动脉窃血综合征的腔内治疗效果。方法:回顾性分析10年间86例行血管腔内治疗的锁骨下动脉窃血综合征患者临床资料,其中锁骨下动脉闭塞11例,狭窄75例,狭窄程度均>70%。结果:86例患者均成功释放支架,无并发症发生。支架置入术后即刻造影显示:锁骨下动脉狭窄或闭塞段血流通畅,椎动脉血流正向。术后患侧肱动脉即刻恢复搏动,与健侧压差<10 mmHg(1 mmHg=0.133 kPa)。72例患者获随访,平均随访24个月。2例死于恶性肿瘤,4例死于心肌梗死。其余随访患者椎-基底动脉缺血及上肢缺血症状均明显改善或消失。复查超声提示:支架无脱落及移位,血流通畅。结论:锁骨下动脉窃血综合征的腔内治疗微创、安全、成功率高,近期效果肯定,可作为首选治疗方法。 Objective: To investigate the effect of intracavitary treatment of subclavian steal syndrome. Methods: The clinical data of 86 patients undergoing subclavian artery steal syndrome treated with endovascular treatment were retrospectively analyzed. Of them, 11 were subclavian artery occlusion, 75 were stenosis, and the degree of stenosis was> 70%. Results: All the 86 patients were successful in stent release without any complication. Stent immediately after angiography showed: subclavian artery stenosis or occlusion of the blood flow, vertebral artery blood flow positive. Immediately after operation, the brachial artery of the ipsilateral artery was pulsatile, with a contralateral pressure difference of <10 mmHg (1 mmHg = 0.133 kPa). 72 patients were followed up for an average of 24 months. 2 died of malignant tumor and 4 died of myocardial infarction. The remaining follow-up patients with vertebrobasilar ischemia and upper limb ischemia were significantly improved or disappeared. Review ultrasound tips: stent without loss and displacement, blood flow unobstructed. Conclusion: The treatment of subclavian steal syndrome with minimally invasive, safe, high success rate, the recent results are positive, can be used as the preferred method of treatment.