颅外颈动脉外科干预指南的更新与解读

Update and interpretation of guidelines of extracranial carotid artery revascularization

颈动脉狭窄闭塞性疾病的外科干预是脑卒中三级预防体系中的重要环节。历经数十年的实践积累,颅外颈动脉血运重建的技术与理念均有显著地提升,在此期间,全球相关指南经历过几次重大更新,对本领域的规范与进步发挥了重要作用。近年来,欧洲与北美发布了最新版颅外段颈动脉疾病处理指南,其中有许多值得我们关注和借鉴的观点,或预示着未来十年该领域在技术上将出现的重要突破。本文就新版指南中主要观点的发展脉络与更新要点进行解读。

Surgical intervention for carotid artery stenosis and occlusive disease plays a key role in the tertiary prevention system of stroke.After decades of practice,the techniques and conceptions of extracranial carotid artery revascularization have been significantly improved.During this period,the corresponding guidelines of it have experienced several major updates,which are critical in the standardization and development of this field.Recently,both Europe and North America have published the latest editions of guidelines for the extracranial carotid artery revascularization,among which there are many new viewpoints that deserve our special attention,or herald major breakthroughs at this field in the next decade.This article will interpret the development and updated points in the new guidelines for extracranial carotid artery revascularization.