Linsen Matteus A M, Vos A W Floris, Vos Jan Albert, Wisselink Willem
VU University Medical Center, Department of Surgery, PO Box 7057, 1007 MB Amsterdam, The Netherlands.
Expert Rev Cardiovasc Ther. 2007 Mar;5(2):195-9. doi: 10.1586/14779072.5.2.195.
Carotid angioplasty and stenting (CAS) has emerged as an alternative treatment for carotid artery occlusive disease. As initial results in patients with an increased surgical risk appeared promising, the popularity of CAS has increased substantially over the last years and CAS has more often been advocated as an alternative to the gold standard, carotid endarterectomy (CEA). Several controlled trials comparing CAS with CEA are currently being conducted. However, long-term results of CAS are still sparse and several issues regarding the inherent differences between treatment modalities have not yet been elucidated. Interestingly, to date, very little attention has been directed towards the mobile features of the carotid artery and the implications of stent placement on carotid artery dynamics.
颈动脉血管成形术和支架置入术（CAS）已成为治疗颈动脉闭塞性疾病的一种替代疗法。由于手术风险增加患者的初步结果看起来很有前景，在过去几年中，CAS的受欢迎程度大幅提高，并且越来越多地被提倡作为金标准——颈动脉内膜切除术（CEA）的替代方法。目前正在进行几项比较CAS和CEA的对照试验。然而，CAS的长期结果仍然很少，而且关于治疗方式之间固有差异的几个问题尚未阐明。有趣的是，迄今为止，很少有人关注颈动脉的移动特征以及支架置入对颈动脉动力学的影响。
