颈内动脉T型闭塞的研究进展
Chinese Journal of Clinical Neurosciences(2018)
Abstract
静脉溶栓治疗颈内动脉T型闭塞效果不佳,且临床预后较差.颅内颈内动脉闭塞具有不同的临床过程和影像学表现,颈总动脉闭塞时有部分病例可以观察到颈内动脉由代偿支供血,其临床症状较颈总动脉连带颈内动脉同时闭塞轻.使用无创影像学诊断颈内动脉闭塞有误差,诊断通常需要行血管造影检查.急性至亚急性期重复血管成像检查确定颈内动脉闭塞对启动二级预防至关重要.因此,深入了解颈内动脉T型闭塞的病因、临床表现、治疗及预后具有重要临床意义.
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Key words
internal carotid artery T-type occlusion,neuroimaging,stroke,collateral compensation,vascular recanalization
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