颈动脉狭窄患者的血管内治疗。

Endovascular treatment of patients with carotid stenosis.

作者信息

Hobson Robert W

机构信息

Division of Vascular Surgery, UMDNJ-New Jersey Medical School, ADMC, Building 6, Room 620, 30 Bergen Street, Newark, NJ 07101, USA.

出版信息

Curr Neurol Neurosci Rep. 2005 Feb;5(1):21-8. doi: 10.1007/s11910-005-0019-y.

DOI:10.1007/s11910-005-0019-y

PMID:15676104

Abstract

Carotid artery stenting is a less invasive technique for carotid revascularization as compared with endarterectomy. However, clinical efficacy for carotid endarterectomy has been established through rigorous randomized clinical trials. Clinical trials and registries on carotid stenting to date have not been powered to compare differential efficacy with endarterectomy in symptomatic patients. Consequently, caution is recommended in use of carotid stenting, pending reports from larger randomized clinical trials.

摘要

与颈动脉内膜切除术相比，颈动脉支架置入术是一种侵入性较小的颈动脉血运重建技术。然而，颈动脉内膜切除术的临床疗效已通过严格的随机临床试验得到证实。迄今为止，关于颈动脉支架置入术的临床试验和登记研究尚无足够的样本量来比较有症状患者中其与内膜切除术的疗效差异。因此，在大型随机临床试验的报告出来之前，建议谨慎使用颈动脉支架置入术。