脑动脉夹层血管内介入治疗  

Endovascular treatment for cerebral arterial dissection

作　　者：邱忠明[1] 殷勤[1] 徐格林[1] 刘新峰[1] 

机构地区：[1]南京军区南京总医院神经内科,南京210002

出　　处：《中国实用内科杂志》2014年第5期439-442,共4页Chinese Journal of Practical Internal Medicine

基　　金：国家自然科学基金(81301017);江苏省临床医学科技专项(BL2013025)

摘　　要：脑动脉夹层是脑梗死的重要病因之一,尤其多见于青年人缺血性卒中。随着非侵入性血管影像学检查,例如核磁共振血管造影、CT血管造影等的广泛应用,脑动脉夹层的诊断准确率明显上升。目前,脑动脉夹层的治疗方法包括抗凝、抗血小板、溶栓、血管内介入或外科干预治疗。相对而言,介入治疗具有围术期并发症发生率低、迅速重建血管等优势,是一种安全有效的治疗措施。Cerebrovascular dissection, including carotid arterial dissection and vertebral arterial dissection, is an important cause of stroke, especially in young and mid-aduh patients. With the widespread use of noninvasive imaging （ i. e. magnetic resonance angiography and computed tomographie angiography） ,the diagnostic rate of arterial dissection has increased. Treatment methods for cerebral arterial dissection include antiplatelet or anticoagnlation therapy, thrombolysis ,and endovaseular or surgical interventions. Endovascular methods have several advantages,i, e. , a low proportion of perioperative complications and immediate reconstruction of the vessels. Especially in certain cases, endovascular therapy is a safe and useful method.

关 键 词：颈内动脉 椎动脉 动脉夹层 血管内治疗 支架 

分 类 号：R743[医药卫生—神经病学与精神病学]