Brook Allan L, Mirsky David M, Bello Jacqueline A
Department of Neuroradiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467-2490, USA.
Tech Vasc Interv Radiol. 2004 Dec;7(4):196-201. doi: 10.1053/j.tvir.2005.02.008.
Historically, imaging evaluation before carotid revascularization by endarterectomy or stenting has relied on targeting the cervical carotid using catheter angiography as the gold standard. This approach underestimates the anatomic and functional importance of the brain as the target organ by focusing the decision-making process on an isolated segment of the circulation. Since revascularization alternatives have been expanded to include the more proximal aortic and more distal intracranial circulations, it is essential to image the vascular tree from the heart to the brain. Equally important is accurate clinical correlation and functional imaging correlation, so that unnecessary surgery is avoided and there is no lost opportunity for stroke prevention.
从历史上看，在通过颈动脉内膜切除术或支架置入术进行颈动脉血运重建之前的影像学评估，一直依赖以导管血管造影术作为金标准来定位颈部颈动脉。这种方法将决策过程聚焦于循环系统的一个孤立节段，从而低估了大脑作为靶器官的解剖学和功能重要性。由于血运重建的替代方案已扩展到包括更靠近近端的主动脉和更靠近远端的颅内循环，对从心脏到大脑的血管树进行成像至关重要。同样重要的是准确的临床关联和功能成像关联，以便避免不必要的手术，并且不会错失预防中风的机会。
