Johansson E, Fox A J
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.
AJNR Am J Neuroradiol. 2016 Feb;37(2):200-4. doi: 10.3174/ajnr.A4429. Epub 2015 Sep 3.
In Part 1 of this review, the definition, terminology, and diagnosis of carotid near-occlusion were presented. Carotid near-occlusions (all types) showed a lower risk of stroke than other severe stenoses. However, emerging evidence suggests that the near-occlusion prognosis with full collapse (higher risk) differs from that without full collapse (lower risk). This systematic review presents what is known about carotid near-occlusion. In this second part, the foci are prognosis and treatment, pathophysiology, the current confusion about near-occlusion, and areas in need of future improvement.
在本综述的第一部分,介绍了颈动脉近乎闭塞的定义、术语和诊断。颈动脉近乎闭塞(所有类型)与其他严重狭窄相比,中风风险较低。然而,新出现的证据表明,完全闭塞(风险较高)的近乎闭塞预后与未完全闭塞(风险较低)的预后不同。本系统综述介绍了关于颈动脉近乎闭塞的已知情况。在第二部分中,重点是预后与治疗、病理生理学、目前对近乎闭塞的困惑以及未来需要改进的领域。