杂交手术室中颈动脉内膜切除术联合血管内治疗对节段性动脉粥样硬化性颈内动脉闭塞患者的疗效及安全性
[Efficacy and safety of carotid endarterectomy combined with endovascular therapy in hybrid operating room for patients with segmental atherosclerotic internal carotid artery occlusion].
作者信息
Peng C, Zhao Y, Hou C K, Wang B Y, Wu Y Z, Song Y F, Cai S F, Yang X Y
机构信息
Department of Neurosurgery, Tianjin Medical University General Hospital; Tianjin 300052, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2022 May 24;102(19):1464-1467. doi: 10.3760/cma.j.cn112137-20210828-01955.
The current study aimed to investigate the efficacy and safety of carotid endarterectomy combined with endovascular therapy in hybrid operating room for patients with segmental atherosclerotic internal carotid artery occlusion, and share the experience of preoperative screening of patients suitable for vascular reconstruction. A total of 20 patients with internal carotid artery occlusion (ICAO) who were admitted to the Department of Neurosurgery, General Hospital of Tianjin Medical University from May 2018 to May 2020 were collected, and 15 patients met the inclusion criteria. All patients received hybrid surgery. The total success rate of recanalization was 14/15, and only 1 patient developed ICA re-occlusion at 1 year follow up.Therefore, carotid endarterectomy combined with endovascular treatment in hybrid operating room was an alternative treatment for patients with segmental atherosclerotic internal carotid artery occlusion.
本研究旨在探讨在杂交手术室中，颈动脉内膜切除术联合血管内治疗对节段性动脉粥样硬化性颈内动脉闭塞患者的疗效和安全性，并分享适合血管重建患者的术前筛查经验。收集了2018年5月至2020年5月在天津医科大学总医院神经外科住院的20例颈内动脉闭塞（ICAO）患者，其中15例符合纳入标准。所有患者均接受了杂交手术。再通的总成功率为14/15，仅1例患者在1年随访时出现颈内动脉再闭塞。因此，在杂交手术室中进行颈动脉内膜切除术联合血管内治疗是节段性动脉粥样硬化性颈内动脉闭塞患者的一种替代治疗方法。
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