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颈动脉近闭塞:全面综述,第1部分——定义、术语和诊断

Carotid Near-Occlusion: A Comprehensive Review, Part 1--Definition, Terminology, and Diagnosis.

作者信息

Johansson E, Fox A J

机构信息

From the Department of Pharmacology and Clinical Neuroscience (E.J.), Umeå University, Umeå, Sweden

Department of Neuroradiology (A.J.F.), Sunnybrook Heath Sciences Centre, University of Toronto, Toronto, Ontario, Canada.

出版信息

AJNR Am J Neuroradiol. 2016 Jan;37(1):2-10. doi: 10.3174/ajnr.A4432. Epub 2015 Aug 27.

DOI:10.3174/ajnr.A4432
PMID:26316571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7960223/
Abstract

Carotid near-occlusion is distal ICA luminal collapse beyond a tight stenosis, where the distal lumen should not be used for calculating percentage stenosis. Near-occlusion with full ICA collapse is well-known, with a threadlike lumen. However, near-occlusion without collapse is often subtle and can be overlooked as a usual severe stenosis. More than 10 different terms have been used to describe near-occlusion, sometimes causing confusion. This systematic review presents what is known about carotid near-occlusion. In this first part, the foci are definition, terminology, and diagnosis.

摘要

颈动脉近闭塞是指颈内动脉(ICA)管腔在严重狭窄远端发生塌陷,远端管腔不应被用于计算狭窄百分比。完全性颈内动脉塌陷的近闭塞情况是众所周知的,其管腔呈线状。然而,无塌陷的近闭塞情况往往较为隐匿,可能会被视为普通的严重狭窄而被忽视。已有超过10种不同的术语用于描述近闭塞,这有时会导致混淆。本系统评价介绍了关于颈动脉近闭塞的已知情况。在第一部分中,重点是定义、术语和诊断。

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本文引用的文献

1
Symptomatic carotid near-occlusion with full collapse might cause a very high risk of stroke.症状性颈动脉近闭塞伴完全闭塞可能导致极高的中风风险。
J Intern Med. 2015 May;277(5):615-23. doi: 10.1111/joim.12318. Epub 2014 Nov 13.
2
Surgical and endovascular intervention on internal carotid artery near occlusion.对接近闭塞的颈内动脉进行外科手术和血管内介入治疗。
Int Angiol. 2015 Apr;34(2):172-81. Epub 2014 Oct 6.
3
Diagnostic yield of delayed phase imaging in CT angiography of the head and neck: a retrospective study.头颈部CT血管造影延迟期成像的诊断效能:一项回顾性研究
PLoS One. 2014 Jun 6;9(6):e99020. doi: 10.1371/journal.pone.0099020. eCollection 2014.
4
Cerebral hemodynamic benefits after carotid artery stenting in patients with near occlusion.近闭狭窄患者颈动脉支架置入术后的脑血流动力学获益。
J Vasc Surg. 2013 Dec;58(6):1512-7. doi: 10.1016/j.jvs.2013.05.103. Epub 2013 Jul 24.
5
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Carotid artery stenting using the proximal or dual protection method for near occlusion of the cervical internal carotid artery.采用近端保护或双重保护方法对颈内动脉近段闭塞行颈动脉支架置入术。
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