颈动脉蹼致反复卒中1例的诊疗体会及文献复习(Diagnosis and Treatment Experience of Recurrent Stroke Caused by Carotid Web: A Case Report and Literature Review)

颈动脉蹼是一种临床相对少见的血管结构异常,作为隐源性卒中的重要病因之一,近年来逐渐受到临床关注。目前,国际指南尚未就该疾病的诊疗方案达成明确共识。本文报道了1例右侧颈内动脉系统卒中的患者,该患者经CTA及超声检查发现右侧颈动脉蹼,首次卒中后未行手术干预,随后出现卒中复发。本文结合诊疗过程及相关文献复习,分析颈动脉蹼致卒中的发病机制并总结诊疗体会。Abstract: Carotid web is a relatively rare vascular structural abnormality in clinical practice. As one of the important caus...

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Main Author: 郭志慧,王小洁,汪利,姜斌,康晨瑶(GUO Zhihui, WANG Xiaojie, WANG Li, JIANG Bin, KANG Chenyao )
Format: Article
Language:zho
Published: Editorial Department of Chinese Journal of Stroke 2025-07-01
Series:Zhongguo cuzhong zazhi
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Online Access:https://www.chinastroke.org.cn/CN/10.3969/j.issn.1673-5765.2025.07.011
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author 郭志慧,王小洁,汪利,姜斌,康晨瑶(GUO Zhihui, WANG Xiaojie, WANG Li, JIANG Bin, KANG Chenyao )
author_facet 郭志慧,王小洁,汪利,姜斌,康晨瑶(GUO Zhihui, WANG Xiaojie, WANG Li, JIANG Bin, KANG Chenyao )
author_sort 郭志慧,王小洁,汪利,姜斌,康晨瑶(GUO Zhihui, WANG Xiaojie, WANG Li, JIANG Bin, KANG Chenyao )
collection DOAJ
description 颈动脉蹼是一种临床相对少见的血管结构异常,作为隐源性卒中的重要病因之一,近年来逐渐受到临床关注。目前,国际指南尚未就该疾病的诊疗方案达成明确共识。本文报道了1例右侧颈内动脉系统卒中的患者,该患者经CTA及超声检查发现右侧颈动脉蹼,首次卒中后未行手术干预,随后出现卒中复发。本文结合诊疗过程及相关文献复习,分析颈动脉蹼致卒中的发病机制并总结诊疗体会。Abstract: Carotid web is a relatively rare vascular structural abnormality in clinical practice. As one of the important causes of cryptogenic stroke, it has gradually attracted clinical attention in recent years. Currently, international guidelines have not reached a clear consensus on the diagnosis and treatment of this disease. This paper reports a patient with right internal carotid artery system stroke. The patient was diagnosed with right carotid web through CTA and ultrasonography and did not undergo surgical intervention after the first stroke, subsequently experiencing a stroke recurrence. By combining the diagnosis and treatment process and reviewing relevant literature, this paper analyzes the pathogenesis of stroke caused by carotid web, and summarizes diagnosis and treatment experiences.
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spelling doaj-art-b7e66e09568749a3a068a0e482205c6f2025-08-20T03:42:53ZzhoEditorial Department of Chinese Journal of StrokeZhongguo cuzhong zazhi1673-57652025-07-0120789990310.3969/j.issn.1673-5765.2025.07.011颈动脉蹼致反复卒中1例的诊疗体会及文献复习(Diagnosis and Treatment Experience of Recurrent Stroke Caused by Carotid Web: A Case Report and Literature Review)郭志慧,王小洁,汪利,姜斌,康晨瑶(GUO Zhihui, WANG Xiaojie, WANG Li, JIANG Bin, KANG Chenyao )0深圳市前海蛇口自贸区医院神经内科(Department of Neurology, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen 518000, China) 颈动脉蹼是一种临床相对少见的血管结构异常,作为隐源性卒中的重要病因之一,近年来逐渐受到临床关注。目前,国际指南尚未就该疾病的诊疗方案达成明确共识。本文报道了1例右侧颈内动脉系统卒中的患者,该患者经CTA及超声检查发现右侧颈动脉蹼,首次卒中后未行手术干预,随后出现卒中复发。本文结合诊疗过程及相关文献复习,分析颈动脉蹼致卒中的发病机制并总结诊疗体会。Abstract: Carotid web is a relatively rare vascular structural abnormality in clinical practice. As one of the important causes of cryptogenic stroke, it has gradually attracted clinical attention in recent years. Currently, international guidelines have not reached a clear consensus on the diagnosis and treatment of this disease. This paper reports a patient with right internal carotid artery system stroke. The patient was diagnosed with right carotid web through CTA and ultrasonography and did not undergo surgical intervention after the first stroke, subsequently experiencing a stroke recurrence. By combining the diagnosis and treatment process and reviewing relevant literature, this paper analyzes the pathogenesis of stroke caused by carotid web, and summarizes diagnosis and treatment experiences.https://www.chinastroke.org.cn/CN/10.3969/j.issn.1673-5765.2025.07.011卒中颈动脉蹼复发文献复习strokecarotid webrecurrenceliterature review
spellingShingle 郭志慧,王小洁,汪利,姜斌,康晨瑶(GUO Zhihui, WANG Xiaojie, WANG Li, JIANG Bin, KANG Chenyao )
颈动脉蹼致反复卒中1例的诊疗体会及文献复习(Diagnosis and Treatment Experience of Recurrent Stroke Caused by Carotid Web: A Case Report and Literature Review)
Zhongguo cuzhong zazhi
卒中
颈动脉蹼
复发
文献复习
stroke
carotid web
recurrence
literature review
title 颈动脉蹼致反复卒中1例的诊疗体会及文献复习(Diagnosis and Treatment Experience of Recurrent Stroke Caused by Carotid Web: A Case Report and Literature Review)
title_full 颈动脉蹼致反复卒中1例的诊疗体会及文献复习(Diagnosis and Treatment Experience of Recurrent Stroke Caused by Carotid Web: A Case Report and Literature Review)
title_fullStr 颈动脉蹼致反复卒中1例的诊疗体会及文献复习(Diagnosis and Treatment Experience of Recurrent Stroke Caused by Carotid Web: A Case Report and Literature Review)
title_full_unstemmed 颈动脉蹼致反复卒中1例的诊疗体会及文献复习(Diagnosis and Treatment Experience of Recurrent Stroke Caused by Carotid Web: A Case Report and Literature Review)
title_short 颈动脉蹼致反复卒中1例的诊疗体会及文献复习(Diagnosis and Treatment Experience of Recurrent Stroke Caused by Carotid Web: A Case Report and Literature Review)
title_sort 颈动脉蹼致反复卒中1例的诊疗体会及文献复习 diagnosis and treatment experience of recurrent stroke caused by carotid web a case report and literature review
topic 卒中
颈动脉蹼
复发
文献复习
stroke
carotid web
recurrence
literature review
url https://www.chinastroke.org.cn/CN/10.3969/j.issn.1673-5765.2025.07.011
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