中国神经再生研究(英文版)

中国神经再生研究(英文版) ›› 2013, Vol. 8 ›› Issue (23): 2204-2206.doi: 10.3969/j.issn.1673-5374.2013.23.011

• 原著:脑损伤修复保护与再生 • 上一篇    

颅外段颈内动脉闭塞的治疗性再通：一项12年回顾性研究

  

  • 收稿日期:2013-05-28 修回日期:2013-07-30 出版日期:2013-08-15 发布日期:2013-08-15

Recanalization of extracranial internal carotid artery occlusion

Liqun Jiao, Gang Song, Yang Hua, Yan Ma, Yanfei Chen, Yabing Wang, Feng Ling   

  1. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 10053, China
  • Received:2013-05-28 Revised:2013-07-30 Online:2013-08-15 Published:2013-08-15
  • Contact: Feng Ling, M.D., Professor, Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No.45 Changchun Street, Xuanwu District, Beijing 100053, China, jiaoliqun@gmail.com.
  • About author:Liqun Jiao, M.D., Associate chief physician.

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摘要：

为评估单一颈动脉内膜切除、颈动脉内膜切除联合血栓切除、联合外科干预治疗颅外段颈内动脉闭塞的有效性。收集2001年1月至2012年12月12年期间于首都医科大学宣武医院，根据数字减影血管造影结果，行前述3种技术治疗的65例症状性颈动脉闭塞患者资料。治疗前患者均行CT灌注、氙CT评估血管阻塞情况。51例行单一颈动脉内膜切除的患者中有46例血管再通。10例行颈动脉内膜切除联合血栓切除患者中9例血管再通。4例行联合外科干预的患者中3例血管再通。因此，对症状性颈动脉闭塞而言，严格地进行影像评估和对患者施行针对性的治疗，可实现颈动脉的完全再通。

关键词: 神经再生, 颈动脉闭塞, 颈动脉, 颈动脉支架, 血管再通, 颈动脉内膜切除, 回顾性研究

Abstract:

This study aimed to summarize therapy experience of carotid endarterectomy, carotid endarterectomy combined with Fogarty catheter embolectomy, and hybrid surgery for the treatment of extracranial internal carotid artery occlusion. The study included 65 patients with extracranial in-ternal carotid artery occlusion who underwent carotid endarterectomy, carotid endarterectomy combined with Fogarty catheter embolectomy, or hybrid surgery in the Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, China between January 2006 and December 2012. Prior to surgery, all patients underwent perfusion CT or xenon CT to evaluate the occlusion. The procedure for each patient was chosen according to digital subtraction angiography data. The ca-rotid artery was successfully recanalized in 46 of 51 patients who underwent carotid endarterectomy, 9 of 10 patients who underwent carotid endarterectomy combined with Fogarty catheter embolectomy, and 3 of 4 patients who underwent hybrid surgery. In patients with symptomatic ca-rotid artery occlusion, the carotid artery can be recanalized by choosing a treatment procedure based on imaging examination findings.

Key words: neural regeneration, carotid occlusion, carotid, carotid artery stenting, carotid endarterectomy, re-canalization, retrospective study, grants-supported paper, neuroregeneration