Department of Radiology, Hull Royal Infirmary, Hull, East Yorkshire HU3 2JZ, UK.
Cardiovasc Intervent Radiol. 2011 Feb;34 Suppl 2:S48-52. doi: 10.1007/s00270-010-9906-y. Epub 2010 Jun 15.
Carotid stump syndrome is one of the recognised causes of recurrent ipsilateral cerebrovascular events after occlusion of the internal carotid artery. It is believed that microemboli arising from the stump of the occluded internal carotid artery or the ipsilateral external carotid artery can pass into the middle cerebral artery circulation as a result of patent external carotid-internal carotid anastomotic channels. Different pathophysiologic causes of this syndrome and endovascular options for treatment are discussed.
颈动脉残端综合征是颈内动脉闭塞后同侧脑血管事件复发的公认原因之一。据信,来自闭塞的颈内动脉或同侧颈外动脉残端的微栓子可能由于颈外动脉-颈内动脉吻合道通畅而进入大脑中动脉循环。本文讨论了该综合征的不同病理生理原因和血管内治疗选择。