慢性颈内动脉闭塞再通术中颅内血管栓塞二例并文献复习  

Intracranial vascular embolism during recanalization of chronic internal carotid artery occlusion:report of two cases and review of literature

作　　者：张超 朱余友[1] 王国平[1] 王黎[1] 刘天龙 宋建龙 汪莉[1] 胡伟[1] 孙文 Zhang Chao;Zhu Yuyou;Wang Guoping;Wang Li;Liu Tianlong;Song Jianlong;Wang Li;Hu Wei;Sun Wen(Department of Neurology,Anhui Provincial Hospital,Hefei 230036,China)

机构地区：[1]安徽省立医院神经内科,合肥230036

出　　处：《中国脑血管病杂志》2020年第7期403-407,共5页Chinese Journal of Cerebrovascular Diseases

基　　金：国家自然科学基金(81501193)。

摘　　要：慢性颈动脉闭塞是缺血性卒中的重要病因之一,对于药物治疗无效或存在严重血流动力学损害的症状性慢性颈内动脉闭塞患者,介入手术干预成为一种可选方式,但其安全性、有效性仍有待进一步研究明确。该研究报道2例慢性颈内动脉闭塞再通术中出现颅内血管栓塞并进行急诊处理的患者,术中分别采用单纯抽吸和支架机械取栓方式复通栓塞血管,通过文献复习,分析介入治疗慢性颈内动脉闭塞相关并发症的种类、成因和预防方式,以期选择合适患者进行手术,降低并发症风险,提高手术成功率。Chronic carotid artery occlusion is one of the important causes of ischemic stroke.For symptomatic chronic internal carotid artery occlusion with ineffective drug treatment or serious hemodynamic damage,endovascular intervention has become an alternative choice.However,the safety and effectiveness of this procedure remained unclear.In the study,the authors report two cases of intravascular embolism during recanalization of chronic internal carotid artery occlusion.During the operation,direct aspiration and stent based mechanical thrombectomy were used to recanalize the blood vessels.The study intends to discuss the types,causes,and prevention of the potential complications related to interventional therapy for chronic internal carotid artery occlusion in order to select suitable patients for operation and reduce the risk of complications as well as improve the success rate of operation.

关 键 词：颈内动脉 慢性闭塞 血管内治疗 栓塞 并发症 

分 类 号：R743.3[医药卫生—神经病学与精神病学]