Carstensen G
Dtsch Med Wochenschr. 1975 May 9;100(19):1037-44. doi: 10.1055/s-0028-1106331.
Results of reconstructive vascular surgery in 352 patients (aged 3 to 75 years) with extracranial arterial occlusions (295 of internal carotid artery) with intermittent symptoms or minor neurological defects are reported. Advantages of reconstructive surgery in the prevention of recurrence are: (1) further cerebrovascular episodes more frequently affect the non-operated side or brain-stem; (2) neurological recovery is quicker and more complete in operated than conservatively treated patients. However, reconstructive surgery, while preventing further cerebrovascular episodes, does not influence definite neurological defects.
报告了352例(年龄3至75岁)患有颅外动脉闭塞(其中295例为颈内动脉闭塞)且有间歇性症状或轻度神经功能缺损患者的血管重建手术结果。血管重建手术在预防复发方面的优势有:(1)进一步的脑血管事件更常影响未手术侧或脑干;(2)与保守治疗的患者相比,接受手术治疗的患者神经功能恢复更快且更完全。然而,血管重建手术虽然能预防进一步的脑血管事件,但对明确的神经功能缺损并无影响。