Progress in Surgical Treatment of Chronic Extracranial Carotid Artery Occlusion
Abstract：Carotid artery occlusion is an important cause of stroke, mainly caused by atherosclerosis, with complex pathophysiological mechanisms. Its diagnostic and therapeutic strategies include medical treatment and surgical intervention, with surgery showing high vascular recanalization rates and potential for improved prognosis in symptomatic patients. Imaging examinations such as CTA, high-resolution MRI, and DSA play a key role in diagnosis and surgical planning. Surgical treatments include carotid endarterectomy (CEA) and carotid artery stenting (CAS), each with specific indications and advantages. Surgical decisions should comprehensively consider the patient's symptoms, occlusion site, and hemodynamic status to balance risks and benefits. This article summarizes the indications, complications, and management points of surgical treatment for carotid artery occlusion, providing a reference for precise treatment of patients with carotid artery occlusion.
Keywords：Carotid ArteryChronic OcclusionCarotid EndarterectomyCarotid Artery Stenting
Publication Date：2025-03-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 171-176 )