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颈动脉血管成形术和支架置入术:现状

Carotid angioplasty and stenting: current status.

作者信息

Pelz D M, Lownie S P

机构信息

Department of Diagnostic Radiology, University of Western Ontario, London.

出版信息

CMAJ. 2000 May 16;162(10):1451-4.

PMID:10834049
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1232458/
Abstract

Carotid angioplasty and stenting has recently emerged as a popular alternative to endarterectomy for the treatment of carotid atherosclerosis. Carotid endarterectomy has been scientifically validated, but many believe carotid angioplasty and stenting to be a less invasive, less expensive and equally safe and effective method of treatment. The evidence for and against the use of each procedure will be discussed.

摘要

最近,颈动脉血管成形术和支架置入术已成为治疗颈动脉粥样硬化的一种流行的替代动脉内膜切除术的方法。动脉内膜切除术已得到科学验证,但许多人认为颈动脉血管成形术和支架置入术是一种侵入性较小、成本较低且同样安全有效的治疗方法。本文将讨论支持和反对使用每种手术方法的证据。

相似文献

1
Carotid angioplasty and stenting: current status.颈动脉血管成形术和支架置入术:现状
CMAJ. 2000 May 16;162(10):1451-4.
2
Carotid stenting.颈动脉支架置入术
Curr Opin Neurol. 2008 Feb;21(1):56-63. doi: 10.1097/WCO.0b013e3282f313d2.
3
The real question to be answered for carotid artery intervention is: who is high-risk for carotid artery stenting so that carotid endarterectomy should be performed?
Int Angiol. 2008 Jun;27(3):173-5.
4
Surgical advances for extracranial carotid stenosis.颅外颈动脉狭窄的外科治疗进展。
Neurosurgery. 2014 Feb;74 Suppl 1:S83-91. doi: 10.1227/NEU.0000000000000150.
5
Cervical carotid revascularization: the case for carotid angioplasty with stenting.颈总动脉血运重建:颈动脉血管成形术加支架置入术的实例
Neurosurgery. 2006 Nov;59(5 Suppl 3):S228-41; discussion S3-13. doi: 10.1227/01.NEU.0000237457.79690.11.
6
Pro: Has carotid angioplasty and stenting replaced carotid endarterectomy as the treatment of choice for carotid artery disease?支持者:对于颈动脉疾病,颈动脉血管成形术和支架置入术是否已取代颈动脉内膜切除术成为首选治疗方法?
J Cardiothorac Vasc Anesth. 2009 Apr;23(2):245-7. doi: 10.1053/j.jvca.2009.01.024.
7
ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical Expert Consensus Document on carotid stenting.
Vasc Med. 2007 Feb;12(1):35-83. doi: 10.1177/1358863X06076103.
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Clinical outcomes and cost comparison of carotid artery angioplasty with stenting versus carotid endarterectomy.颈动脉血管成形术与支架置入术对比颈动脉内膜切除术的临床疗效及成本比较
J Vasc Surg. 2006 Aug;44(2):270-6. doi: 10.1016/j.jvs.2006.04.049.
9
Con: Has carotid angioplasty and stenting replaced carotid endarterectomy in all patients? Not yet.反对观点:对于所有患者而言,颈动脉血管成形术和支架置入术是否已经取代了颈动脉内膜切除术?答案是否定的。
J Cardiothorac Vasc Anesth. 2009 Apr;23(2):248-50. doi: 10.1053/j.jvca.2009.01.021.
10
Reflections by contrarians on the post-CREST evaluation of carotid stenting for stroke prevention.对颈动脉支架置入术预防中风的 CREST 后评估的逆向思维反思。
Int J Stroke. 2010 Dec;5(6):455-6. doi: 10.1111/j.1747-4949.2010.00532.x.

引用本文的文献

1
Neuropsychological sequelae of carotid angioplasty with stent placement: correlation with ischemic lesions in diffusion weighted imaging.颈动脉血管成形术和支架置入术后的神经心理学后遗症:与弥散加权成像中的缺血性病变的相关性。
PLoS One. 2009 Sep 10;4(9):e7001. doi: 10.1371/journal.pone.0007001.

本文引用的文献

1
Endovascular therapy of a large vertebral artery aneurysm using stent and coils.使用支架和弹簧圈对大型椎动脉动脉瘤进行血管内治疗。
Can J Neurol Sci. 2000 May;27(2):162-5.
2
The status of carotid stenting.颈动脉支架置入术的现状。
AJNR Am J Neuroradiol. 1999 Aug;20(7):1378-81.
3
Medical complications associated with carotid endarterectomy. North American Symptomatic Carotid Endarterectomy Trial (NASCET).
Stroke. 1999 Sep;30(9):1759-63. doi: 10.1161/01.str.30.9.1759.
4
The North American Symptomatic Carotid Endarterectomy Trial : surgical results in 1415 patients.北美症状性颈动脉内膜切除术试验:1415例患者的手术结果
Stroke. 1999 Sep;30(9):1751-8. doi: 10.1161/01.str.30.9.1751.
5
Carotid endarterectomy : where do we draw the line?颈动脉内膜切除术:我们该如何界定界限?
Stroke. 1999 Sep;30(9):1745-50. doi: 10.1161/01.str.30.9.1745.
6
Vascular surgical society of great britain and ireland: results of the carotid and vertebral artery transluminal angioplasty study.大不列颠及爱尔兰血管外科学会:颈动脉和椎动脉腔内血管成形术研究结果
Br J Surg. 1999 May;86(5):710-1. doi: 10.1046/j.1365-2168.1999.0710c.x.
7
Angioplasty and stenting for carotid lesions: an argument against.颈动脉病变的血管成形术和支架置入术:反对观点
Adv Surg. 1999;32:245-54.
8
Angioplasty and stenting for carotid lesions: an argument for.
Adv Surg. 1999;32:225-43.
9
Different response to balloon angioplasty of carotid and coronary arteries: effects on acute platelet deposition and intimal thickening.颈动脉和冠状动脉对球囊血管成形术的不同反应:对急性血小板沉积和内膜增厚的影响。
Atherosclerosis. 1998 Oct;140(2):307-14. doi: 10.1016/s0021-9150(98)00134-8.
10
Carotid artery stenosis: treatment by angioplasty with or without stent.颈动脉狭窄:血管成形术治疗,可使用或不使用支架。
Ann Vasc Surg. 1998 Nov;12(6):621-4. doi: 10.1007/s100169900211.