摘要
目前,血管内治疗已经成为颈动脉狭窄血运重建治疗的重要手段,但对于无症状性颈动脉狭窄(aCAS)是否应行血管内治疗仍缺乏高质量证据支持。通过对血管壁病变情况及斑块性质评估筛选出具有卒中高危风险的aCAS患者尤为关键。光学相干断层成像(OCT)作为一种新型成像技术,在评估血管病变中具有独特的优势。作者报道1例aCAS患者经OCT评估发现存在易损斑块后反复发生缺血性卒中的诊疗经过,以期为临床诊疗提供参考。
Endovascular treatment has become an important treatment for carotid artery stenosis to improve blood supply.However,there is still a lack of high-quality evidence to support whether endovascular treatment should be performed in patients with asymptomatic carotid artery stenosis(aCAS).It is of clinical significance to screen out patients with aCAS at high risk of stroke by assessing vessel wall lesions and plaque properties.Optical coherence tomography(OCT)is a new imaging technique with unique advantages in evaluating intravascular conditions.The authors reported a case of aCAS patient with OCT-detected vulnerable plaque and undergoing recurrent ischemic strokes,which may provide reference for clinicians.
作者
董威辰
施璇
廖安宇
肖露露
杨东
韩云飞
朱武生
Dong Weichen;Shi Xuan;Liao Anyu;Xiao Lulu;Yang Dong;Han Yunfei;Zhu Wusheng(Department of Neurology,Affiliated Jinling Hospital(General Hospital of Eastern Theater Command),Medical School,Nanjing University,Nanjing 210002,China)
出处
《中国脑血管病杂志》
CAS
CSCD
北大核心
2023年第3期195-199,共5页
Chinese Journal of Cerebrovascular Diseases
基金
国家自然科学基金(82271361)
江苏省科技项目(BK20201234)。
关键词
颈动脉狭窄
体层摄影术
光学相干
血管内治疗
易损斑块
Carotid stenosis
Tomography,optical coherence
Endovascular treatment
Vulnerable plaque
