颈总动脉血管内再通术 完全闭塞：两例报告及文献综述
Endovascular recanalization of common carotid artery Total occlusion: two case reports and literature review.
作者信息
Hsu Jung-Chi, Tsai Han-Lin
机构信息
Department of Internal Medicine, Division of Cardiology, Saint Mary's Hospital Luodong, Yilan, 26546, Taiwan.
Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, 7 Chung-Shan South Road, Taipei, 100, Taiwan.
出版信息
CVIR Endovasc. 2020 Jan 13;3(1):6. doi: 10.1186/s42155-020-0097-6.
BACKGROUND
Common carotid artery total occlusion is rare but can be associated with a variety of neurological symptoms due to inadequate cerebral perfusion. The treatment includes bypass surgery, endarterectomy, and endovascular revascularization.
CASE PRESENTATION
Herein, we report two cases of common carotid artery total occlusion treated by percutaneous transluminal angioplasty, and review the literature.
CONCLUSION
Both of our cases were successfully treated with endovascular revascularization for common carotid artery total stenosis. Endovascular therapy provided an alternative treatment. Further large clinical study for comparing the safety and efficiency in surgical and endovascular treatment may be required.
LEVEL OF EVIDENCE
Level 4, Case Series.
背景
颈总动脉完全闭塞较为罕见，但由于脑灌注不足可伴有多种神经症状。治疗方法包括搭桥手术、动脉内膜切除术和血管内血运重建术。
病例报告
在此，我们报告两例经皮腔内血管成形术治疗颈总动脉完全闭塞的病例，并对文献进行综述。
结论
我们的两例病例均通过血管内血运重建术成功治疗颈总动脉完全狭窄。血管内治疗提供了一种替代治疗方法。可能需要进一步开展大型临床研究以比较手术治疗和血管内治疗的安全性和有效性。
证据级别
4级，病例系列。
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