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创伤性脑损伤中脑血管损伤的血管内治疗策略

The endovascular treatment strategies of cerebrovascular injuries in traumatic brain injury.

作者信息

Leng Shuo, Li Wentao, Cai Yu, Zhang Yi

机构信息

Center of Interventional Radiology & Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, 210009, China.

Department of Radiology, Medical School, Southeast University, Nanjing, 210009, China.

出版信息

Chin J Traumatol. 2025 Mar;28(2):81-90. doi: 10.1016/j.cjtee.2025.01.001. Epub 2025 Jan 22.

Abstract

Vasculature injury occurs rarely in traumatic brain injury but increases lifetime risk of ischemic or hemorrhage stroke. The diverse and nonspecific clinical manifestations make the diagnosis and treatment of these injuries highly challenging. With advancements in device design, endovascular treatments have become widely adopted, playing an increasingly vital role in the management of vascular diseases. The purpose of this review is to introduce and summarize endovascular treatments of traumatic cerebrovascular injury and other related pathological states after traumatic brain injury. Given the innovations of neuroendovascular devices and improvements in the techniques over the past decade, this review will outline several recent advancements in endovascular treatment strategies for cerebrovascular pathologies. Popularizing more treatment options to clinicians will benefit in dealing with a variety of clinical scenarios and reduce the overall morbidity of traumatic cerebrovascular injury.

摘要

血管损伤在创伤性脑损伤中很少见,但会增加缺血性或出血性中风的终生风险。这些损伤多样且不具有特异性的临床表现使得其诊断和治疗极具挑战性。随着设备设计的进步,血管内治疗已被广泛采用,在血管疾病的管理中发挥着越来越重要的作用。本综述的目的是介绍和总结创伤性脑血管损伤及创伤性脑损伤后其他相关病理状态的血管内治疗。鉴于过去十年神经血管内设备的创新和技术的改进,本综述将概述脑血管疾病血管内治疗策略的一些最新进展。向临床医生推广更多的治疗选择将有助于应对各种临床情况,并降低创伤性脑血管损伤的总体发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0040/11973697/255038b665c2/gr1.jpg

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