复合手术治疗串联型颈动脉狭窄的研究进展
Recent progress in hybrid surgery for tandem carotid artery stenosis
刘长通 1王浩展 1宋国红2
作者信息
- 1. 272000 山东济宁济宁医学院临床医学院
- 2. 济宁医学院附属医院神经外科脑血管病区
- 折叠
摘要
串联型颈动脉狭窄是一种相对少见的动脉粥样硬化性疾病.随着介入技术的发展,其治疗方式也愈趋向于微创,复合手术的方式也早已被提及且被证实了其技术的可行性.近年来随着患者数量的增加以及国内外研究的深入,发现复合手术治疗串联型颈动脉狭窄的安全性及有效性还值得商榷,选择适合患者的治疗方式显得尤为重要.本文就复合手术在治疗串联型颈动脉狭窄的手术流程、手术方式的比较及存在的争议作一综述,以便对该手术方式有更全面的了解.
Abstract
Clinically,tandem carotid artery stenosis(TCAS)is a relatively rare atherosclerotic disease,and with the development of interventional techniques,its treatment has become more and more minimally invasive,and the technical feasibility of hybrid surgery(HS)has been already confirmed for long time.In recent years,with the increasing of the number of patients and the deepening of research both at home and abroad,it has been found that the safety and effectiveness of HS for TCAS are still questionable,and it is particularly important to choose the appropriate treatment for such patients.This article aims to make a comprehensive review about the HS for TCAS,focusing on its surgical process,comparison of its surgical methods,and the current controversies over the treatment of TCAS,with the hope that clinicians can get a more comprehensive understanding about this surgical method.(J Intervent Radiol,2024,32:95-99)
关键词
复合手术/颈动脉狭窄/串联病变/颈动脉内膜切除术/血管内操作/卒中Key words
hybrid surgery/carotid artery stenosis/tandem lesion/carotid endarterectomy/endovascular operation/stroke引用本文复制引用
出版年
2024