经颈动脉血运重建术联合血流逆转系统治疗颈动脉狭窄的研究现状  

Research status of transcarotid artery revascularization combined with blood flow reversal system in treatment of carotid artery stenosis

作　　者：王志飞 李龙[1] 焦力群[1] Wang Zhifei;Li Long;Jiao Liqun(Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院神经外科,北京100053 [2]吉林市人民医院神经内科,132012

出　　处：《中国脑血管病杂志》2021年第9期621-627,共7页Chinese Journal of Cerebrovascular Diseases

摘　　要：经股动脉颈动脉支架置入术(TFCAS)已成为颈动脉内膜切除术(CEA)的一种可行的替代或补充方法,但其围手术期卒中发生率高于CEA。经颈动脉血运重建术(TCAR)联合血流逆转系统是一种新的颈动脉血运重建术,较CEA创伤小,其通过血流逆转以降低顺行性栓塞性卒中发生的风险,具有良好的应用前景。该文综述了TCAR联合血流逆转系统治疗颈动脉狭窄的研究现状,为提高对该治疗方法的认识提供依据。Transfemoral carotid artery stenting(TFCAS)has become a feasible alternative or supplement to carotid endarterectomy(CEA),but its perioperative stroke rate is higher than CEA.Transcarotid artery revascularization(TCAR)combined with blood flow reversing system is a new method for carotid artery revascularization.Compared with CEA,it is less invasive and uses reversal of blood flow to reduce the risk of antegrade embolic stroke,showing great application prospects.In this paper,the research status on TCAR combined with blood flow reversing system in the treatment of carotid artery stenosis is reviewed,so as to provide basis for a better understanding of this treatment method.

关 键 词：经股动脉颈动脉支架置入术 经颈动脉血运重建技术 血流逆转系统 脑保护装置 综述 

分 类 号：R743.3[医药卫生—神经病学与精神病学]