摘要
急性缺血性卒中(acute ischemic stroke, AIS)是成人死亡和残疾的主要原因,其中大脑中动脉(middle cerebral artery,MCA)M2段闭塞是AIS最常见的亚型。与颈内动脉和MCA M1段相比,M2段更加壁薄、纤细、迂曲,因此目前针对血管内治疗M2段AIS仍存在争议。该文综述了国内、外有关血管内治疗M2段AIS的相关研究,重点总结了取栓治疗与标准内科治疗对M2段闭塞疗效的差异,并分别比较了两者的有效性与安全性。
Acute ischemic stroke(AIS) is the leading cause of death and disability in adults, and M2 segment occlusion of the middle cerebral artery(MCA) is the most common subtype of AIS. Compared with the carotid artery and the M1 segment of the MCA, the M2 segment is thinner, slimmer, and more tortuous. Therefore, the endovascular treatment of M2 segment is still controversial. This paper reviews the relevant studies on endovascular treatment of M2 in China and abroad, and summarizes the differences in efficacy and safety of mechanical thrombectomy and standard endovascular treatment for M2 occlusions.
作者
覃惠洵
高文
覃彬
张皆德
覃城
邬剑雄
陈红
Qin Huixun;Gao Wen;Qin Bin;Zhang Jiede;Qin Cheng;Wu Jianxiong;Chen Hong(Department of Neurology,Liuzhou People's Hospital,Liuzhou 545006,China)
出处
《广西医科大学学报》
CAS
2021年第2期413-417,共5页
Journal of Guangxi Medical University
基金
广西柳州市科技计划项目(No.2018AF10502)。
关键词
大脑中动脉
机械取栓
血管内治疗
血管再通
middle cerebral artery
mechanical thrombectomy
endovascular therapy
revascularization
