颈动脉疾病血管造影和手术的适应症。
Indications for angiography and surgery in carotid artery disease.
作者信息
Harrison M J, Marshall J
出版信息
Br Med J. 1975 Mar 15;1(5958):616-8. doi: 10.1136/bmj.1.5958.616.
Abstract
The results of angiographic investigation of 211 patients suffering from transient cerebral ischaemic attacks in the carotid territory have been reviewed. The greatest proportion of patients with carotid stenosis and who were referred for endarterectomy were those with a neck bruit ipsilateral to the affected hemisphere. Ocular involvement (amaurosis fugax) was associated with a still higher prevalence of angiographic abnormality, and carotid occlusion was commonest in this group. The implications for the management of patients with transient ischaemic attacks are discussed.
摘要
对211例患有颈动脉供血区短暂性脑缺血发作的患者进行血管造影检查的结果进行了回顾。患有颈动脉狭窄且被转诊进行内膜切除术的患者中，比例最高的是患侧半球同侧有颈部杂音的患者。眼部受累（一过性黑矇）与血管造影异常的患病率更高相关，并且颈动脉闭塞在该组中最为常见。文中讨论了这些结果对短暂性缺血发作患者治疗的意义。
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