脑动脉狭窄的介入治疗

The Interventional Therapy of the Cerebral Artherosclerosis Stenosis

症状性脑动脉狭窄一直是临床治疗的难点。目前其治疗大致分为3类:(1)药物治疗;(2)外科治疗;(3)介入治疗。内科抗凝、抗血小板治疗往往起不到控制卒中发作的作用;外科颅内-颅外血管吻合术及动脉内膜剥脱术受多种因素的限制,风险较大。近年来,由于安全有效的支架输送、投放工具和支架的发展,介入治疗在脑动脉硬化性狭窄性疾病中的应用逐渐增多;本文就这方面的认识进展做一综述。

The clinical therapies focus on the treatments of symptomatic stenosis of cerebral artery,and there was three types of methods,including medicine,surgery,and interventional therapy.The onset of stroke cann't be prohibited by the anti- coagulation and anti-platelet therapy.Meanwhile,the cerebral artery bypass and endarterectomy were limited,and it was more dangerous than other treatments.Recently,the interventional cerebral artery therapy is developing in the cerebral artherosclerosis stenosis because of the safe and effective stenting technique.This review introduces progress about the interventional therapy in the cerebral artery stenosis.