摘要
近年来,缺血性脑血管病介入治疗发展迅速。机械取栓是急性缺血性卒中治疗的重大突破,新器械、新技术、新理念和新试验使更多患者获益;颈动脉狭窄支架成形术的循证医学证据愈加充实,新型支架和脑保护装置有望进一步降低围手术期脑缺血风险、改善卒中预防效果;在严格按照适应证应用Wingspan支架后,颅内动脉狭窄支架成形术的安全性有所提高,而药物涂层球囊成形术也显示出良好的发展前景;同时,颅内外动脉非急性期闭塞介入再通治疗已开始起步,在谨慎开展的基础上有待更多经验积累。
Endovascular therapy of ischemic cerebrovascular disease has developed rapidly in the past few years.The big breakthrough in acute ischemic stroke treatment is mechanical embolectomy,of which new devices,technologies,concepts and trials are bringing great benefits to more patients.Evidence becomes more substantial and reliable for endovascular stenting of carotid artery stenosis.New stents and embolic protection devices might further lower its peri-procedure risk of brain ischemia and improve its efficacy of stroke prevention.For patients with intracranial stenosis,stented-assisted angioplasty becomes safer when the Wingspan stent is used strictly by its current on-label indication.Drug coated balloon angioplasty also demonstrates attractive application prospects.Endovascular recanalization of non-acute occlusion of extracranial and intracranial arteries has been carried out prudently in its initial stage,more experiences are needed.
作者
陆军
王大明
Lu Jun;Wang Daming(Department of Neurosurgery,Beijing Hospital,Beijing 100730,China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2021年第3期192-195,共4页
Chinese Journal of Surgery
关键词
脑缺血
卒中
介入治疗
Brain ischemia
Stroke
Endovascular therapy
