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[缺血性脑血管病的血管内治疗进展]

[Update in endovascular therapy of ischemic cerebrovascular disease].

作者信息

Lu J, Wang D M

机构信息

Department of Neurosurgery, Beijing Hospital, Beijing 100730, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2021 Mar 1;59(3):192-195. doi: 10.3760/cma.j.cn112139-20201117-00803.

Abstract

Endovascular therapy of ischemic cerebrovascular disease has developed rapidly in the past few years.The big breakthrough in acute ischemic stroke treatment is mechanical embolectomy,of which new devices,technologies,concepts and trials are bringing great benefits to more patients.Evidence becomes more substantial and reliable for endovascular stenting of carotid artery stenosis.New stents and embolic protection devices might further lower its peri-procedure risk of brain ischemia and improve its efficacy of stroke prevention.For patients with intracranial stenosis,stented-assisted angioplasty becomes safer when the Wingspan stent is used strictly by its current on-label indication.Drug coated balloon angioplasty also demonstrates attractive application prospects.Endovascular recanalization of non-acute occlusion of extracranial and intracranial arteries has been carried out prudently in its initial stage,more experiences are needed.

摘要

在过去几年中,缺血性脑血管疾病的血管内治疗发展迅速。急性缺血性卒中治疗的重大突破是机械取栓术,其新设备、技术、概念和试验正给越来越多的患者带来巨大益处。颈动脉狭窄血管内支架置入术的证据变得更加充分和可靠。新型支架和栓子保护装置可能会进一步降低其围手术期脑缺血风险,并提高其预防卒中的疗效。对于颅内狭窄患者,严格按照目前的标签适应证使用Wingspan支架时,支架辅助血管成形术会更安全。药物涂层球囊血管成形术也显示出诱人的应用前景。颅外和颅内动脉非急性闭塞的血管内再通在初期开展得较为谨慎,还需要更多经验。

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