非急性颅内动脉闭塞介入开通的治疗现状与研究进展

Current status and research progress of endovascular recanalization treatment for non-acute intracranial artery occlusion

非急性颅内动脉闭塞作为缺血性脑卒中一个重要但较少见的病因,被越来越多的临床医生关注。经过系统性回顾相关文献,我们发现通过全面评估非急性颅内动脉闭塞患者的神经功能、梗死核心的大小、梗死周围的脑血流变化、侧支循环状况、梗死段的形态学特征,结合血管内介入治疗、药物治疗、外科治疗等可以制定更加有效和个体化的治疗方案,进而显著增加闭塞开通的成功率,改善预后,减少并发症。

Being an important but less common etiology of ischemic stroke,non-acute intracranial artery occlusion has attracted more and more attention from clinicians.A systematic review of the relevant literature shows that a comprehensive evaluation of the neurological function,the size of the infarct core,the cerebral blood flow changes around the infarction,the collateral circulation status,and the morphological characteristics of the infarct segment in patients with non-acute intracranial artery occlusion,combined with careful use of therapeutic means including endovascular intervention treatment,drug treatment,surgical treatment,etc.,a more effective and individualized treatment plan can be formulated.Thus,it can significantly increase the recanalization success rate of the occlusion,improve the prognosis,and reduce the complications.