颈动脉带蒂漂浮血栓急诊手术2例报道

doi:10.3969/j.issn.1673-5765.2025.02.014

中国卒中杂志 ›› 2025, Vol. 20 ›› Issue (2): 234-239.DOI: 10.3969/j.issn.1673-5765.2025.02.014

颈动脉带蒂漂浮血栓急诊手术2例报道

高丽敏¹，王凯²，贾培雷²，李普阳²，秦立鹏²，张楠²，赵亚鹏²，付增彬²，高雪亮²，郭小蕊²

1 石家庄 050000 河北省中医院导管中心
2 河北省中医院神经外科

收稿日期:2023-11-15 出版日期:2025-02-20 发布日期:2025-02-20
通讯作者: 王凯 wangkaidr@126.com
基金资助:
河北省中医药管理局科研计划项目（2025207）

Report of Two Cases of Emergency Surgery for Carotid Artery Pedunculated Floating Thrombus

GAO Limin¹, WANG Kai², JIA Peilei², LI Puyang², QIN Lipeng², ZHANG Nan², ZHAO Yapeng², FU Zengbin², GAO Xueliang², GUO Xiaorui²

1 Catheter Center, Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, China
2 Department of Neurosurgery, Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, China

Received:2023-11-15 Online:2025-02-20 Published:2025-02-20
Contact: WANG Kai, E-mail: wangkaidr@126.com

摘要/Abstract

摘要： 颈动脉带蒂漂浮血栓主要是由颈动脉不稳定斑块部分游离、尚未完全脱落而形成的紧急状态，存在时间窗多数较窄。由于颈动脉带蒂漂浮血栓发病隐匿，血栓在完全脱落前往往没有明显症状，只有少数病例有前驱表现，因此很难被及时发现。该疾病主要在超声等影像学检查中被偶然发现，具有典型的形态特征，影像学诊断并不困难。及时发现和正确处理颈动脉带蒂漂浮血栓是相关卒中防治的关键。本文讨论的2例缺血性卒中患者，均在入院后进行了血管影像学检查，发现颈动脉带蒂漂浮血栓并急诊行颈动脉内膜剥脱术，术后病理也证实了血栓性质。患者术后恢复良好，未出现再缺血事件。

关键词: 颈动脉带蒂漂浮血栓; 颈动脉内膜剥脱术; 病理分析; 斑块

Abstract: Carotid artery pedunculated floating thrombus is mainly an emergency state formed by the partial detachment of unstable plaques in the carotid artery before they completely detach, with most time windows being relatively narrow. Due to its latent onset, the thrombus often has no visible symptoms before it completely detaches, with only a few cases showing prodromal manifestations, making it difficult to discover in a timely manner. This condition is mainly accidentally discovered during imaging examinations such as ultrasound, and it has typical morphological characteristics, so imaging diagnosis is not difficult. Timely discovery and correct handling have become the key to the prevention and treatment of related strokes. The two ischemic stroke patients discussed in this article both underwent angiographic examinations after admission. The carotid artery pedunculated floating thrombus was discovered in each of them, and they underwent emergency carotid endarterectomy. Postoperative pathology also confirmed the properties of pedunculated floating thrombus. The postoperative recovery was good, with no recurrent ischemic events.

Key words: Carotid artery pedunculated floating thrombus; Carotid endarterectomy; Pathological analysis; Plaque

中图分类号:

高丽敏, 王凯, 贾培雷, 李普阳, 秦立鹏, 张楠, 赵亚鹏, 付增彬, 高雪亮, 郭小蕊. 颈动脉带蒂漂浮血栓急诊手术2例报道[J]. 中国卒中杂志, 2025, 20(2): 234-239.

GAO Limin, WANG Kai, JIA Peilei, LI Puyang, QIN Lipeng, ZHANG Nan, ZHAO Yapeng, FU Zengbin, GAO Xueliang, GUO Xiaorui. Report of Two Cases of Emergency Surgery for Carotid Artery Pedunculated Floating Thrombus[J]. Chinese Journal of Stroke, 2025, 20(2): 234-239.

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颈动脉带蒂漂浮血栓急诊手术2例报道

Report of Two Cases of Emergency Surgery for Carotid Artery Pedunculated Floating Thrombus

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