颈动脉狭窄治疗的研究进展

Research Progress in Treatment of Carotid Artery Stenosis

颈动脉狭窄是在颈动脉粥样硬化基础上形成的一种严重的脑血管病,可导致脑卒中、认知功能障碍等并发症。颈动脉狭窄的早期规范化治疗以及进行合适的血运重建术对预防脑卒中十分重要。颈动脉狭窄患者在确诊以后均应进行规范化的药物治疗及危险因素的控制,而无症状的重度颈动脉狭窄患者以及有症状的中重度颈动脉狭窄患者还需要进行手术治疗,主要术式包括颈动脉支架置入术和颈动脉内膜剥脱术。目前,随着血管内治疗技术的不断改进,越来越多的新型血运重建方式被广泛研究。

Carotid artery stenosis is a serious cerebrovascular disease developed on the basis of carotid atherosclerosis,which can lead to stroke,cognitive impairment and other complications.Early standardized treatment of carotid artery stenosis and appropriate revascularization are very important for stroke prevention.After diagnosis,the patients with carotid artery stenosis should receive standardized drug treatment and control of risk factors.Asymptomatic severe carotid artery stenosis patients and symptomatic moderate to severe carotid artery stenosis patients also need surgical treatment,and the main surgical treatment methods include carotid artery stenting and carotid endarterectomy.At present,with the continuous improvement of endovascular therapy technology,more and more new methods of revascularization are being widely studied.