中风与神经疾病杂志2025，Vol.42Issue(11)：979-983,5.DOI:10.19845/j.cnki.zfysjjbzz.2025.0179
多模态影像精准评估、规范监护对于减少CEA围术期并发症的价值
Value of multimodal imaging-based precise evaluation and standardized monitoring in reducing perioperative complications of carotid endarterectomy
摘要
Abstract
Severe carotid artery stenosis is an independent risk factor for stroke,and carotid endarterectomy(CEA)can effectively prevent ischemic stroke by alleviating such stenosis.However,CEA carries certain risks of adverse events,including perioperative death,ischemic stroke,and hyperperfusion injury,and these adverse events not only compromise perioperative safety but also diminish the efficacy of the procedure in preventing cerebral ischemic events.A multimodal imaging-based comprehensive management mode(i.e.,preoperative assessment with carotid ultrasound,transcranial Dop-pler(TCD),and CT angiography,intraoperative monitoring with TCD and cerebral oximetry,and standardized postopera-tive follow-up with carotid ultrasound and TCD)can significantly reduce perioperative mortality and the incidence rate of stroke and avoid hypoperfusion,hyperperfusion syndrome,and arterial restenosis or occlusion,thereby enhancing the perioperative safety of CEA.关键词
颈动脉狭窄/颈动脉内膜切除术/术前评估/术中监护Key words
Carotid stenosis/Carotid endarterectomy/Preoperative evaluation/Intraoperative monitoring分类
医药卫生引用本文复制引用
宋彬彬,苏芳慧,李丽,宁金丽,辛果果,王亚星..多模态影像精准评估、规范监护对于减少CEA围术期并发症的价值[J].中风与神经疾病杂志,2025,42(11):979-983,5.基金项目
国家卫生健康委"脑卒中防治科技应对研究"(WKZX2023CZ0108) （WKZX2023CZ0108）
