颈动脉蹼32例临床分析  

A clinical analysis of 32 patients with carotid web

作　　者：周峰[1,2] 徐子奇[1] 计仁杰[1] 马黎 柯达强[1] 梁辉 Zhou Feng;Xu Ziqi;Ji Renjie;Ma Li;Ke Daqiang;Liang Hui(Department of Neurology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China;Department of Neurology, Shaoxing Second Hospital, Shaoxing, Zhejiang 312000, China)

机构地区：[1]浙江大学医学院附属第一医院神经内科,杭州310003 [2]绍兴第二医院神经内科,312000

出　　处：《中华内科杂志》2019年第8期599-601,共3页Chinese Journal of Internal Medicine

摘　　要：近来,颈动脉蹼作为缺血性卒中的少见危险因素越来越被重视。本研究从浙江2家医院5 943例行颈动脉CT血管造影患者中检出32例颈动脉蹼患者,占总被调查人数的0.54%。其中1例行颈动脉内膜剥脱术,病理为血管壁纤维组织增生伴黏液变性;2例行颈动脉支架植入术。13例无症状患者未进行预防缺血性卒中治疗,随访(20.9±12.4)月,均无卒中发作。研究结果提示,颈动脉蹼在2家医院的检出率低,无症状性颈动脉蹼预后良好,但仍需要长时间、大样本临床试验证实。Carotid web is a rare risk factor of ischemic stroke. A total of 32 (0.54%) patients with carotid web were finally diagnosed in 5 943 patients who underwent carotid computerized tomography angiography (CTA) in two hospitals. Only one patient received carotid endarterectomy that pathological findings were fibrous tissue hyperplasia of vascular wall with mucinous degeneration. Stent implantation was administrated in two cases. Among 13 asymptomatic patients, the observational follow-up period was (20.9±12.4) months without strokes. Carotid web is a rare aberration. Asymptomatic patients with carotid web are usually silent. Large sized cohort and long-term follow-up are further needed.

关 键 词：颈动脉蹼 肌纤维发育不良 颈动脉内膜剥脱术 颈动脉支架植入术 

分 类 号：R543.4[医药卫生—心血管疾病]