慢性大脑中动脉闭塞影像学评估及手术治疗进展

Imaging evaluation and surgical treatment of chronic middle cerebral artery occlusion

颅内大动脉闭塞性疾病(LAOD)是导致缺血性卒中的重要原因,其好发部位多为颈内动脉及大脑中动脉。慢性大脑中动脉闭塞(CMCAO)是LAOD中的一种重要类型,其导致缺血性卒中风险较高,需积极临床干预。但学术界并未对其治疗策略达成明确共识,本文通过对CMCAO的影像学特点及外科治疗手段进行综述,旨在对临床工作中此类患者的个体化治疗方案选择提供参考。

Intracranial large artery occlusive disease(LAOD)is an important cause of ischemic stroke,which often occurs in internal carotid artery and middle cerebral artery.Chronic middle cerebral artery occlusion(CMCAO)is an important type of LAOD.It leads to a high risk of ischemic stroke and requires active clinical intervention.However,there is still no consensus on the treatment strategy of CMCAO.This article reviews the imaging characteristics and surgical treatments of CMCAO,aiming to provide more evidence for the personalized treatment of such patients.