Kirmani Jawad F, Janjua Nazli, Al Kawi Ammar, Ahmed Shafiuddin, Khatri Ismail, Ebrahimi Ali, Divani Afshin A, Qureshi Adnan I
Zeenat Qureshi Stroke Research Center, Department of Neurology and Neurosciences, University of Medicine and Dentistry of New Jersey, Newark, New Jersey 07103, USA.
NeuroRx. 2005 Apr;2(2):304-23. doi: 10.1602/neurorx.2.2.304.
Rapid advances in the field of interventional neurology and the development of minimally invasive techniques have resulted in a great expansion of potential therapeutic applications. We discuss therapeutic interventional neurology as applied in clinical practice in one of the two possible ways: 1) embolization leading to occlusion of blood vessels; and 2) revascularization leading to reopening of blood vessels. These procedures can be applied to a broad range of cerebrovascular diseases. In the first section of this review, we will explore the evolution of these interventions to occlude aneurysms, arteriovenous malformations, neurovascular tumors, and injuries. In the second section, revascularization in acute ischemic stroke, stenosis, and dural venous thrombosis will be discussed.
介入神经病学领域的快速发展以及微创技术的进步,使得潜在治疗应用得到了极大扩展。我们从两种可能的方式之一来探讨临床实践中应用的治疗性介入神经病学:1)导致血管闭塞的栓塞术;2)导致血管再通的血管重建术。这些手术可应用于广泛的脑血管疾病。在本综述的第一部分,我们将探讨这些用于闭塞动脉瘤、动静脉畸形、神经血管肿瘤和损伤的干预措施的演变。在第二部分,将讨论急性缺血性卒中、狭窄和硬脑膜静脉窦血栓形成中的血管重建术。