经颈动脉入路行颈动脉狭窄血运重建术的研究进展  

Research advances in transcarotid artery revascularization for carotid artery stenosis

作　　者：赵全堂 毛俊翔 郭鹏航 高宇 周杰[2] Zhao Quantang;Mao Junxiang;Guo Penghang;Gao Yu;Zhou Jie(First School of Clinical Medical,Gansu University of Chinese Medicine,Lanzhou 730000,China;Department of Neurosurgery,No.940 Hospital of Joint Logistics Support Force of PLA,Lanzhou 730050,China)

机构地区：[1]甘肃中医药大学第一临床医学院,兰州730000 [2]中国人民解放军联勤保障部队第940医院神经外科,兰州730050

出　　处：《中华老年多器官疾病杂志》2025年第3期233-236,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：甘肃省自然科学基金(23JRRA532)。

摘　　要：经颈动脉血运重建术(TCAR)作为一种新型颈动脉支架置入术,具有独特优势,该手术无需在主动脉弓部位开展操作,仅需借助特定装置或技术体系改变血液流动方向,形成保护机制,从而显著降低颈动脉介入治疗发生栓塞事件的风险。与经股动脉支架植入术相比,卒中或死亡风险较低;与颈动脉内膜剥脱术相比,卒中或死亡风险相当;但TCAR还具有降低心肌梗死、颅神经损伤风险和缩短手术时间等优点。越来越多的数据显示,TCAR是一种安全有效、前景广泛的术式。本文针对TCAR的手术步骤、不同术式疗效、学习曲线的研究现状进行综述。Transcarotid artery revascularization(TCAR)is a new type of carotid stenting that not only avoids manipulation of the aortic arch but also effectively reduces the risk of embolic events during carotid interventions through a device or technical system for changing the direction of blood flow to provide protection.Evidence shows that TCAR has a lower risk of stroke or death than transfemoral stenting,and a comparable risk of stroke or death when compared to carotid endarterectomy.In addition,TCAR has the advantages of reducing the risk of myocardial infarction and cranial nerve injury,and shortening procedure time.An increasing body of evidence supports TCAR as a safe,effective,and promising procedure.In this article,we reviewed the surgical procedures,efficacy of different surgical approaches,and learning curve of TCAR.

关 键 词：颈动脉内膜剥脱术 经股动脉支架植入术 经颈动脉血运重建术 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R543[医药卫生—临床医学]