症状性颅内动脉粥样硬化性狭窄血管内治疗中国专家共识

被引:41
作者
王拥军
徐安定
曾进胜
李宝民
缪中荣
David Wang
刘丽萍
刘亚杰
王大明
张晓龙
机构
[1] 症状性颅内动脉粥样硬化性狭窄血管内治疗专家共识组
[2] 首都医科大学附属北京天坛医院
[3] 暨南大学附属第一医院
[4] 中山大学附属第一医院
[5] 解放军总医院
[6] 美国伊利诺伊州立大学Peoria医学中心
[7] 南方医科大学附属珠江医院
[8] 卫生部北京医院
[9] 上海华山医院
关键词
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
1002 ;
摘要
动脉粥样硬化性颅内外血管狭窄是导致缺血性卒中/短暂性脑缺血发作的主要原因及病理改变,众多研究证实中国患者以颅内动脉狭窄为主。最近我国大样本观察研究发现颅内动脉早期狭窄≥70%是卒中复发的高危因素,而且随着合并危险因素的增多复发风险也明显增加。所以,目前的问题是:如何准确评估风险?如何更好的管理血压、血脂和血糖等危险因素?如何给予抗栓治疗方案?支架治疗和药物治疗该如何选择以及效果如何?为此,《中华内科杂志》编委会组织专家对症状性动脉粥样硬化性颅内血管狭窄血管内治疗最新进展进行回顾,力求针对目前临床治疗方面较为混乱的认识提出一些思路和建议,供国内同行参考。
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页码:271 / 275
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