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从本期起,本刊开办血管内介入治疗脑血管病,即“介入治疗病例透视”的栏目,就目前的临床热点进行研讨。本期的内容是第五届缺血性脑血管介入治疗青年沙龙研讨的病例,供读者思考。目前,对颅内动脉重度狭窄,介入治疗的结果似乎优于规范的内科治疗,但对有些完全闭塞的病变,尚未导致大面积脑梗死,同时由于低灌注而不断有症状发作的患者,文献报道的治疗方法不多。本文作者尝试使用介入治疗的方法使已经完全闭塞的血管再通,应用介入治疗已完全闭塞的颅内动脉在适应证以及技术方面均应谨慎对待。
Starting from this issue, this issue of intravascular interventional treatment of cerebrovascular disease, namely “interventional treatment case perspective ” section, on the current clinical hot research. The content of this issue is the fifth case of ischemic cerebrovascular interventional treatment of young salons for readers to think. At present, the interventional treatment seems to be superior to the standard medical treatment for the severe stenosis of intracranial arteries, but in some completely occluded lesions, it has not been reported to cause large-area cerebral infarction and patients with continuous symptoms due to hypoperfusion The treatment is not much. The author attempts to use the method of interventional therapy to completely recanalization of recanalization of the intracranial artery which has been completely occluded by interventional therapy. Both indications and techniques should be treated with caution.