慢性颈内动脉闭塞评估及治疗中国专家共识  

Chinese expert consensus on assessment and treatment of chronic internal carotid artery occlusion

作　　者：中国医师协会神经介入专业委员会 焦力群[2] 刘圣[3] 卢光东 王韬 Chinese Federation of Interventional Clinical Neurosciences(CFITN);Jiao Liqun;Liu Sheng(不详;Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Interventional Radiology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]不详 [2]首都医科大学宣武医院神经外科,北京100053 [3]南京医科大学第一附属医院介入放射科,210029 [4]南京医科大学第一附属医院 [5]首都医科大学宣武医院

出　　处：《中国脑血管病杂志》2024年第6期419-432,共14页Chinese Journal of Cerebrovascular Diseases

基　　金：北京市医院管理中心“登峰”人才计划资助项目(DFL20220702)。

摘　　要：随着医疗诊断技术的进步及我国老年人口的不断增加,慢性颈内动脉闭塞(CICAO)在临床上越来越常见。伴有严重血流动力学障碍的症状性CICAO患者有较高的再发缺血性卒中的风险,与CICAO慢性缺血相关的认知功能障碍也越来越受到重视。但是,目前临床上对于CICAO尚缺乏统一的评估和治疗方案。该专家共识对CICAO相关的最新临床研究进行总结,并结合国内相关领域专家的临床实践经验,对CICAO患者的评估、治疗及围手术期管理提出了针对性意见,以期进一步规范临床诊疗流程,提高国内神经病学医师对CICAO患者的诊治水平。With the advancement of medical diagnostic technology and the continuous increase of the elderly population in China,chronic internal carotid artery occlusion(CICAO)is becoming increasingly common in clinical practice.Symptomatic CICAO patients with severe hemodynamic disorders have a high risk of recurrent ischemic stroke.Cognitive impairment related to chronic ischemia in CICAO is also receiving increasing attention.However,there is currently a lack of unified evaluation and treatment plans for CICAO patients in clinical practice.This expert consensus summarized the latest clinical trials and research related to CICAO,and combined the clinical practice experience of domestic experts in related fields to provide targeted opinions on the evaluation,treatment and perioperative management of CICAO patients,in order to further standardize the clinical diagnosis and treatment process of the patients with CICAO in China.

关 键 词：颈动脉疾病 慢性颈内动脉闭塞 缺血性卒中 影像学评估 治疗 共识 

分 类 号：R743.3[医药卫生—神经病学与精神病学]