颈动脉疾病管理的当前趋势。
Current trends in managing carotid artery disease.
作者信息
Biggs Kristen L, Moore Wesley S
机构信息
UCLA Division of Vascular Surgery, 200 Medical Plaza, Room 510-6, Box 956908, Los Angeles, CA 90095-6908, USA.
出版信息
Surg Clin North Am. 2007 Oct;87(5):995-1016, vii. doi: 10.1016/j.suc.2007.07.005.
The management of carotid bifurcation disease continues to evolve. Carotid endarterectomy remains the gold standard for symptomatic patients, and for selected asymptomatic patients who have hemodynamically significant carotid stenosis. Medical management of the high-risk plaque has continued to improve and is complementary to carotid endarterectomy. Carotid angioplasty and stenting is presently being evaluated as a treatment option for high-risk patients. This article reviews the current understanding of disease management.
颈动脉分叉疾病的管理仍在不断发展。颈动脉内膜切除术仍是有症状患者以及部分有血流动力学显著意义的颈动脉狭窄无症状患者的金标准。高危斑块的药物治疗一直在改进，并且是颈动脉内膜切除术的补充。目前正在评估颈动脉血管成形术和支架置入术作为高危患者的一种治疗选择。本文综述了当前对疾病管理的认识。
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