颅内动脉粥样硬化性急性大血管闭塞血管内治疗中国专家共识  

Chinese expert consensus on endovascular treatment for acute large vessel occlusion with intracranial atherosclerosis

作　　者：中国研究型医院学会介入神经病学专业委员会 刘锐 黄显军[3] 李威 沈华超 代齐良 孙文[5] 胡伟 朱武生 刘新峰 Professional Committee of Interventional Neurology in Chinese Research Hospital Association;Zhu Wusheng;Liu Xinfeng

机构地区：[1]不详 [2]东部战区总医院 [3]皖南医学院弋矶山医院 [4]海南医科大学第一附属医院 [5]中国科学技术大学附属第一医院 [6]东部战区总医院神经内科,南京210002 [7]中国科学技术大学附属第一医院神经内科,合肥230000

出　　处：《中国脑血管病杂志》2025年第1期63-72,F0003,共11页Chinese Journal of Cerebrovascular Diseases

摘　　要：血管内治疗已成为颅内急性大血管闭塞(LVO)性卒中的一线治疗方案,颅内动脉粥样硬化(ICAS)病变是中国人LVO的重要病因。由于ICAS病变识别困难,导致手术操作的复杂性增加。基于ICAS-LVO临床研究的最新进展并结合临床专家经验,中国研究型医院学会介入神经病学专业委员会针对ICAS-LVO的临床识别、影像学特征、手术策略、围手术期管理等制定该共识,以期为规范ICAS-LVO血管内治疗的策略与技术、降低患者的致残率与病死率、促进临床规范化管理提供帮助。Endovascular treatment has become the first-line treatment for stroke caused by acute intracranial large vessel occlusion(LVO).Acute intracranial LVO caused by intracranial atherosclerosis(ICAS)is a common cause of thrombus removal in Chinese people,but it was difficult and complex for the surgical operation treatment.This consensus was based on the latest progress of domestic clinical research on ICAS-LVO and combined with the experience summary of clinical experts to summarize the identification,imaging features,surgical strategies,and perioperative management of ICAS-LVO.It aims to quickly identify ICAS-LVO,standardize its endovascular treatment strategies and techniques,reduce the disability and mortality rates of patients,and provide assistance for standardized clinical management.

关 键 词：颅内动脉粥样硬化 急性脑动脉闭塞 血管内治疗 专家共识 

分 类 号：R743.3[医药卫生—神经病学与精神病学]