[1]余梦楠 赵文元 刘建民.闭塞性颅外段颈内动脉夹层经抗凝、抗血小板治疗再通:二例报告及文献复习[J].介入放射学杂志,2009,(08):620.
 YU Meng-nan ZHAO Wen-yuan LIU Jian-min.Recanalization of occlusive extracranial internal carotid artery dissection through medication of anticoagulant and antiplatelet agents: report of two cases with Hterature review[J].journal interventional radiology,2009,(08):620.
点击复制

闭塞性颅外段颈内动脉夹层经抗凝、抗血小板治疗再通:二例报告及文献复习()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2009年08期
页码:
620
栏目:
临床研究
出版日期:
2009-08-15

文章信息/Info

Title:
Recanalization of occlusive extracranial internal carotid artery dissection through medication of anticoagulant and antiplatelet agents: report of two cases with Hterature review
作者:
余梦楠 赵文元 刘建民
上海第二军医大学长海医院神经外科,200433
Author(s):
YU Meng-nan ZHAO Wen-yuan LIU Jian-min
关键词:
抗凝 抗血小板 颈内动脉 夹层
分类号:
R743.4
摘要:
目的 探讨抗凝、抗血小板治疗颅外段颈内动脉夹层(eICAD)的疗效和安全性.方法 报道并分析我院治疗的2例闭塞性eICAD;Medline数据库检索关于颈内动脉夹层的文献,进行文献复习.结果 多数研究支持抗凝、抗血小板药物的经验性应用.约30%的闭塞性eICAD在起病8 d内再通,60%~80%在3个月内再通.治疗期间缺血性卒中复发或残死率在抗凝组为8.3%~14.3%,抗血小板组为7%~23.7%.结论 对存在抗凝禁忌证的eICAD患者抗血小板治疗可能有益;无禁忌证者建议及早抗凝治疗.

参考文献/References:

1.Engelter ST.Brandt T.Debette S Antiplatelets versus anticoagulation in cervical artery dissection 2007
2.Lucas C.Moulin T.Deplanque D Stroke patterns of internal carotid artery dissection in 40 patients 1998
3.Lyrer P.Engeher S Antithrombotic drugs for carotid artery dissection 2004
4.Osborn AG Nonartheromatous causes of arterial narrowing and occlusion 1994
5.Schievink WI Spontaneous dissection of the carotid and vertebral arteries 2001
6.Benninger DH.Georgiadis D.Kremer C Mechanism of ischemic infarct in spontaneous carotid dissection 2004
7.Houser OW.Mokri B.Sundt TM Spontaneous cervical cephalic arterial dissection and its residuum:angiagraphic spectrnm 1984
8.Pozzati E.Giuliani G.Aeciarri N Long-term follow-up of occlusive cervical carotid dissection 1990
9.Baumgartner RW.Arnold M.Baumgartner I Carotid dissection with and without isehemic events:local symptoms and cerebral artery findings 2001
10.Bonati LH.Wetzel SG.Gandjour J Diffusion weighted imaging in stroke attributable to internal carotid artery dissection:the significance of vessel patency 2008
11.Hill MD.Hwa G.Perry JR Extracranial cervical arterial dissection 2000
12.Bounds JA Carotid dissection:pathophysiology of stroke and treatment implications 1999
13.Ast G.Woimant F.Georges B Spontaneous dissection of the internal carotid artery in 68 patients 1993
14.Steinke W.Rantenberg W.Schwartz A Noninvasive monitoring of internal carotid artery dissection 1994
15.Cervera A.Justicia C.Reverter JC Steady plasma concentration of unfractionated heparin reduces infarct volume and prevents inflammatory damage after transient focal cerebral ischemia in the rat 2004
16.Ceorgiadis D.Lanczik O.Schwab S IV thrombolysis in patients with acute stroke due to spontaneous carotid dissection 2005
17.Dreier JP.Lurtzing F.Kappmeier M Delayed occlusion after internal carotid artery dissection under heparin 2004
18.Beletsky V.Nadareishvili Z.Lynch J Cervical arterial dissection:time for a therapeutic trial 2003
19.Arauz A.Hoyos L.Espinoza C Dissectiion of cervical arteries:long-term follow-up study of 130 consecutive cares 2006
20.Schievink WI The treatment of spontaneous carotid and vertebral artery dissections 2000
21.Schievink WI.Mokri B.O'Fallon WM Recurrent spontaneous cervical-artery dissection 1994
22.Bassetti C.Carrnzzo A.Sturzenegger M Recurrence of cervical artery dissection.A prospective study of 81 patients 1996
23.Caso V.Paciaroni M.Corea F Recanalizatian of cervical artery dissection:influencing factors and role in neurological outcome 2004

备注/Memo

备注/Memo:
基金项目:上海市自然科学基金,上海市科委重点项目
更新日期/Last Update: 2009-08-15