单侧颈内动脉闭塞合并多根颅外动脉重度狭窄血管内介入干预1例

One case of unilateral internal carotid artery occlusion combined with severe stenosis of multiple extracranial arteries

慢性颈内动脉闭塞,是多由动脉粥样硬化引起的一种常见临床病变,也是中老年常见的血管疾病之一。其会造成血管血流速度减慢,导致脑组织血液供应发生改变,继发引起脑神经及脑组织代谢异常;同时长期脑灌注不足将会诱发认知障碍的发生,对患者生活质量造成严重影响。目前主要有药物保守及血管内介入两种治疗方式,但关于这两种治疗方式的优胜劣汰仍存在较大争议。本资料报道1例颅内外多发血管重度狭窄、闭塞病例的临床、影像、治疗策略及预后,以期为此类患者的早期诊断和治疗提供参考依据。

Chronic internal carotid artery occlusion,a common clinical lesion caused by atherosclerosis,was also one of the common vascular diseases in the middle and old age.It could slow down the blood flow rate of blood vessels,which leaded to changes in the blood supply of brain tissue,and secondary causes abnormal metabolism of brain nerves and brain tissue.At the same time,long-term cerebral hypoperfusion would induce cognitive impairment,which would seriously affect the quality of life of patients.At present,there were two main treatment methods:drug conservative treatment and intravascular intervention,but there was still a great controversy about the survival of the fittest in these two treatment methods.This paper reported the clinical,imaging,therapeutic strategy and prognosis of a case of severe intracranial and extracranial multiple vessel stenosis and occlusion,in order to provide reference for the early diagnosis and treatment of such patients.