Chinese Journal of Contemporary Neurology and Neurosurgery ›› 2020, Vol. 20 ›› Issue (6): 469-471. doi: 10.3969/j.issn.1672-6731.2020.06.002

Previous Articles     Next Articles

Treatment strategy of endovascular recanalization for chronic ischemic stroke with large vessel occlusion

MIAO Zhong-rong, DENG Yi-ming   

  1. Department of Interventional Neurology, Beijing Tiantan Hospital, Capital Medical University;China National Clinical Research Center for Neurological Diseases, Beijing 100070, China
  • Received:2020-06-25 Online:2020-06-25 Published:2020-06-24
  • Supported by:

    This study was supported by National Key Research and Development Program (No. 2018AAA0102600), Beijing Natural Science Foundation Haidian Original Innovation Joint Fund (No. L192010), Beijing Hospitals Authority Youth Programme (No. QML20180506), and Capital Medical University Research Fund (No. PYZ2018080).

慢性大血管闭塞性缺血性卒中血管再通治疗策略

缪中荣, 邓一鸣   

  1. 100070 首都医科大学附属北京天坛医院神经介入中心 国家神经系统疾病临床医学研究中心
  • 通讯作者: 缪中荣,Email:zhongrongm@163.com
  • 基金资助:

    国家重点研发计划项目(项目编号:2018AAA0102600);北京市自然科学基金-海淀原始创新联合基金资助项目(项目编号:L192010);北京市医院管理中心“青苗”计划项目(项目编号:QML20180506);首都医科大学科研培育基金资助项目(项目编号:PYZ2018080)

Abstract:

The diagnosis and treatment of chronic large vessel occlusion is in its infancy period. At present, few studies reported some successful cases, but on the whole, the opening of large vessel occlusion is in a state of exploration in terms of preoperative evaluation, patient selection, technical methods and also evidence-based medicine. With improvement of the experience of multi-disciplinary doctors, as well as the updating and iteration of nerve-interventional materials, the level of diagnosis and treatment of large vessel occlusion is constantly improving. We focus on the current situation and problems of endovascular treatment of chronic macrovascular occlusion in order to provide valuable experience for the future development of this work.

Key words: Arterial occlusive diseases, Carotid artery diseases, Intracranial arterial diseases, Angioplasty, Review

摘要:

慢性大血管闭塞的血管再通治疗尚处于萌芽阶段,尽管有小样本病例对照临床研究或回顾性研究获得成功,但整体而言,慢性大血管闭塞的血管再通治疗在术前评估、病例选择、技术方法和循证医学证据等方面仍处于探索阶段。随着神经介入、影像学、病理学等多学科医师经验的积累以及神经介入材料的更新迭代,慢性大血管闭塞的诊疗水平不断提高。本文立足“天时”、“地利”、“人和”的高度和维度,从手术时机、病变评估及个体化治疗三方面概述慢性颈内动脉闭塞及其他颅内动脉闭塞的治疗策略。

关键词: 动脉闭塞性疾病, 颈动脉疾病, 颅内动脉疾病, 血管成形术, 综述