Albuquerque F C, Teitelbaum G P, Larsen D W, Giannotta S L
Department of Neurological Surgery, Los Angeles County and University of Southern California Medical Center, Los Angeles, California.
Neurosurg Focus. 1998 Dec 15;5(6):e2. doi: 10.3171/foc.1998.5.6.5.
Endarterectomy is the treatment of choice for patients with symptomatic stenosis of the internal carotid artery. Recently, debate has arisen over the potential benefits of endovascular techniques. Although retrospective analyses of angioplasty and stenting procedures suggest comparable clinical efficacy to endarterectomy, prospective evaluation is pending. The authors review the status of the debate and discuss those issues on both sides that are particularly contentious and clinically relevant.
内膜切除术是有症状的颈内动脉狭窄患者的首选治疗方法。最近，关于血管内技术的潜在益处引发了争论。尽管对血管成形术和支架置入术的回顾性分析表明其临床疗效与内膜切除术相当，但前瞻性评估仍在进行中。作者回顾了这场争论的现状，并讨论了双方特别有争议且与临床相关的问题。
