症状性椎动脉重度狭窄的腔内治疗进展

Endovascular treatment of symptomatic severe vertebral artery stenosis

约25%~40%的脑缺血事件发生在后循环,其中20%左右的后循环卒中是由椎动脉狭窄引起。症状性椎动脉狭窄患者复发性卒中风险高。目前椎动脉狭窄的治疗方法包括药物治疗、开放手术和介入治疗,本文着重复习椎动脉狭窄的腔内治疗,尤其对腔内治疗的进展进行综述,以期推动其治疗的发展。

About 25%-40% of ischemic stroke is in the posterior circulation,in which 20% of posterior circulation stroke is caused by vertebral artery stenosis. Patients with symptomatic vertebral artery stenosis have a high risk of recurrent stroke. At present,the treatments of vertebral artery stenosis include medication,open surgery and interventional therapy. In this paper,the endovascular treatment of vertebral artery stenosis is reviewed,especially the progress of endovascular treatment is expounded,in order to promote the development of its treatment.