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颈动脉夹层再通:影像学检查方法、影响因素及治疗前景

Carotid artery dissection recanalization: imaging modalities, influencing factors, and therapeutic perspectives.

作者信息

Li Tao, Lan Wenjing, Zhang Xuanxiao, Yin Shuo, Sun Pengfei, Chen Xin, Zhou Hongwei

机构信息

Department of Radiology, The First Hospital of Jilin University, Changchun, China.

出版信息

Front Neurol. 2025 Jul 8;16:1624698. doi: 10.3389/fneur.2025.1624698. eCollection 2025.

Abstract

Carotid artery dissection (CAD) is a rare cause of ischemic stroke, and its prognosis is often poor. If not diagnosed and treated in time, it may lead to serious complications such as intracranial stroke and even death. Accurate diagnosis of CAD, formulation of reasonable treatment plans, and prediction of vascular recanalization are crucial for improving the prognosis of patients. However, there is currently a lack of large-scale randomized controlled trials to provide guidance for clinical practice, and the industry has not yet reached a unified consensus on the standardized diagnosis and treatment of CAD. Therefore, this article reviews the imaging examination methods for recanalization of CAD, the analysis of related factors affecting recanalization, and the methods of recanalization treatment, and combines the latest research progress to provide a perspective on the recanalization of carotid artery dissection, aiming to provide a reference basis for the precise diagnosis and treatment of CAD recanalization.

摘要

颈动脉夹层(CAD)是缺血性卒中的一种罕见病因,其预后通常较差。若未及时诊断和治疗,可能会导致诸如颅内卒中甚至死亡等严重并发症。准确诊断CAD、制定合理的治疗方案以及预测血管再通对于改善患者预后至关重要。然而,目前缺乏大规模随机对照试验为临床实践提供指导,且业界对于CAD的标准化诊断和治疗尚未达成统一共识。因此,本文综述了CAD再通的影像学检查方法、影响再通的相关因素分析以及再通治疗方法,并结合最新研究进展,对颈动脉夹层再通进行阐述,旨在为CAD再通的精准诊断和治疗提供参考依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/236c/12282257/192df236fcde/fneur-16-1624698-g001.jpg

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