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颈动脉近闭塞:全面综述,第2部分——预后与治疗、病理生理学、困惑及改进领域

Carotid Near-Occlusion: A Comprehensive Review, Part 2--Prognosis and Treatment, Pathophysiology, Confusions, and Areas for Improvement.

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 Feb;37(2):200-4. doi: 10.3174/ajnr.A4429. Epub 2015 Sep 3.

Abstract

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.

摘要

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。

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