Dieter Robert S, Laird John R
Washington Hospital Center/Georgtown University, USA.
Int J Cardiovasc Intervent. 2005;7(3):126-33. doi: 10.1080/14628840510039559.
"Extracranial carotid artery stenosis is responsible for approximately 20-30% of ischemic strokes. Traditionally, carotid artery stenosis has been treated with carotid endarterectomy. However, the low periprocedural complication rate and the mid term durability of carotid artery stenting has made it a competitive alternative treatment strategy. This update reviews the technical aspects of carotid artery stenting, clinical data supporting carotid artery stenting-particularly in high risk patients, and the complications associated with carotid artery stenting."
颅外颈动脉狭窄约占缺血性中风的20%-30%。传统上,颈动脉狭窄采用颈动脉内膜切除术治疗。然而,颈动脉支架置入术围手术期并发症发生率低且中期疗效持久,使其成为一种具有竞争力的替代治疗策略。本综述回顾了颈动脉支架置入术的技术要点、支持颈动脉支架置入术的临床数据——尤其是在高危患者中的数据,以及与颈动脉支架置入术相关的并发症。