使用复合手术室行颈动脉内膜剥脱术联合血管内治疗对节段性动脉粥样硬化性颈内动脉闭塞患者的疗效

Efficacy and safety of carotid endarterectomy combined with endovascular therapy in hybrid operating room for patients with segmental atherosclerotic internal carotid artery occlusion

本研究主要探讨使用复合手术室行颈动脉内膜剥脱术联合血管内治疗对节段性动脉粥样硬化性颈内动脉闭塞患者的疗效, 以及总结术前筛选适合接受血管重建的患者的经验。收集2018年5月至2020年5月天津医科大学总医院神经外科连续收治20例动脉粥样硬化性颈内动脉闭塞患者, 15例患者符合纳入条件。患者全都接受复合手术治疗, 并且血管重建成功率为14/15, 术后1年随访时只有1人血管再次闭塞。因此, 颈内动脉剥脱术联合血管内治疗的复合手术对于动脉粥样硬化性颈内动脉闭塞患者来说是一种可以选择的治疗方案。

The current study aimed to investigate the efficacy and safety of carotid endarterectomy combined with endovascular therapy in hybrid operating room for patients with segmental atherosclerotic internal carotid artery occlusion,and share the experience of preoperative screening of patients suitable for vascular reconstruction.A total of 20 patients with internal carotid artery occlusion(ICAO)who were admitted to the Department of Neurosurgery,General Hospital of Tianjin Medical University from May 2018 to May 2020 were collected,and 15 patients met the inclusion criteria.All patients received hybrid surgery.The total success rate of recanalization was 14/15,and only 1 patient developed ICA re-occlusion at 1 year follow up.Therefore,carotid endarterectomy combined with endovascular treatment in hybrid operating room was an alternative treatment for patients with segmental atherosclerotic internal carotid artery occlusion.