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中华脑血管病杂志(电子版) ›› 2022, Vol. 16 ›› Issue (05) : 360 -365. doi: 10.11817/j.issn.1673-9248.2022.05.014

综述

急性基底动脉闭塞血管内治疗的研究进展
陈东升1, 张萌2, 张彩兰3, 孙支唐1,()   
  1. 1. 030001 太原,山西医科大学第二医院神经内科
    2. 710061 西安,西安交通大学第一附属医院神经内科
    3. 030001 太原,山西医科大学第二医院呼吸内科
  • 收稿日期:2022-06-27 出版日期:2022-10-01
  • 通信作者: 孙支唐
  • 基金资助:
    国家自然科学基金青年项目(81801122); 陕西省自然科学基础研究青年项目(2020JQ-529)

Research progress in the endovascular treatment of acute basil artery occlusion

Dongsheng Chen1, Meng Zhang2, Cailan Zhang3, Zhitang Sun1,()   

  1. 1. Department of Neurology, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
    2. Department of Neurology, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
    3. Department of Respiratory Medicine, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2022-06-27 Published:2022-10-01
  • Corresponding author: Zhitang Sun
引用本文:

陈东升, 张萌, 张彩兰, 孙支唐. 急性基底动脉闭塞血管内治疗的研究进展[J/OL]. 中华脑血管病杂志(电子版), 2022, 16(05): 360-365.

Dongsheng Chen, Meng Zhang, Cailan Zhang, Zhitang Sun. Research progress in the endovascular treatment of acute basil artery occlusion[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2022, 16(05): 360-365.

急性基底动脉闭塞(ABAO)是椎-基底动脉系统缺血性卒中的重要原因,致残率及致死率约为90%,疾病负担沉重。最近的研究表明,ABAO患者治疗成功的关键在于尽早实现有效再灌注,挽救缺血半暗带。但ABAO患者行血管内治疗(EVT)尚缺乏循证医学证据支持。因此,本文对ABAO患者多中心、前瞻性、随机、对照的EVT试验进行综述,比较不同EVT方式对于ABAO患者的远期疗效,并分析术前的影像学评估与ABAO患者转归的关系,旨在为临床ABAO患者行EVT提供指导和参考。

Acute basilar artery occlusion (ABAO) is one of the key causes of ischemic strokes in the vertebrobasilar system, with a high disability and mortality of about 90% and therefore a heavy disease burden. Recent studies indicate that the key to successful treatment of ABAO is to start reperfusion therapy as soon as possible and to save the ischemic penumbra by endovascular treatment (EVT). However, EVT for ABAO is still lack of evidence-based medicine. Hence, we summarize the progress in EVT by comparing different EVTs and analyzing the correlation between preoperative imaging elvaluation and clinical outcome, so as to provide reference for clinical EVT of patients.

表1 各种影像学评估量表的数据比较
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