Papke K, Meila D, Brassel F
Klinik für Radiologie und Neuroradiologie, Klinikum Duisburg, Duisburg, Germany.
Radiologe. 2011 Mar;51(3):223-33; quiz 234-6. doi: 10.1007/s00117-011-2138-6.
Vascular interventions in the head and neck region are becoming increasingly more important due to acquisition of knowledge on the pathophysiological principles of various vascular diseases and the development of new intervention materials. This article gives a review of the materials and techniques used in interventions in the head and neck region. Special attention is given to the description of a safety-oriented approach to avoid potentially severe complications. Based on this the value of endovascular therapeutic procedures for recanalization of various diseases will be discussed, in particular the treatment of extracranial and intracranial stenoses and the reopening of vascular occlusions in acute stroke using PTA, stents, lysis and mechanical thrombus removal.
由于对各种血管疾病病理生理原理的认识不断深入以及新型介入材料的发展,头颈部区域的血管介入正变得越来越重要。本文综述了头颈部区域介入治疗中使用的材料和技术。特别关注了一种以安全为导向的方法的描述,以避免潜在的严重并发症。在此基础上,将讨论血管内治疗程序对各种疾病再通的价值,特别是使用经皮腔内血管成形术(PTA)、支架、溶栓和机械血栓清除术治疗颅外和颅内狭窄以及急性卒中时血管闭塞的再通。