颈内动脉闭塞非急性期再通研究进展

Research progress in non-acute phase recanalization of internal carotid artery occlusion

颈内动脉闭塞(ICAO)在临床上并不少见。大多数研究表明,ICAO开通可降低脑卒中发生率,改善认知等。但由于其手术难度大、成功率低、并发症多,严重影响患者预后,是目前脑血管介入治疗领域的重点和难点。本文就ICAO非急性期概念、术前影像学评估、治疗现状及围手术期常见并发症等作一简要综述。

Internal carotid artery occlusion(ICAO)is not a rare finding in clinical practice.Most studies have indicated that the recanalization of ICAO can reduce the incidence of stroke and improve patient's cognition.However,because of its high surgical difficulty,low success rate and more complications,it seriously affects the prognosis of patients,which is the key and difficult point in the field of cerebrovascular interventional therapy at present.This paper briefly reviews the concept of ICAO non-acute phase recanalization,preoperative imaging evaluation,current treatment status,and common perioperative complications,etc.