Bosiers M, Deloose K, Verbist J, Peeters P
Department of Vascular Surgery, AZ St-Blasius, Dendermonde, Belgium.
Eur J Vasc Endovasc Surg. 2008 Jun;35(6):637-43. doi: 10.1016/j.ejvs.2008.02.005. Epub 2008 Mar 28.
The importance of angioplasty and stenting in the treatment of carotid artery disease cannot be underestimated. Successful carotid stenting does not only depend of the operator's skills and experience, but also an adequate selection of cerebral protection devices and carotid stents can help avoiding neurological complications. A broad spectrum of carotid devices is currently on the market and since all have their assets and downsides, it is virtually impossible to acclaim one specific device as being the best. The individual characteristics of each specific protection system or stent may make it an attractive choice in one circumstance, but render it a less desirable option in others situations. The applicability depends primarily on the arterial anatomy and the specific details of the lesion being treated. But certainly, personal preferences and familiarity with a specific device may legitimately influence the decision to choose one over another.
血管成形术和支架置入术在治疗颈动脉疾病中的重要性不可低估。成功的颈动脉支架置入术不仅取决于操作者的技术和经验，而且合适地选择脑保护装置和颈动脉支架有助于避免神经并发症。目前市场上有各种各样的颈动脉装置，由于它们都有各自的优点和缺点，几乎不可能宣称某一种特定装置是最好的。每个特定保护系统或支架的个体特性可能使其在一种情况下成为有吸引力的选择，但在其他情况下则是不太理想的选择。其适用性主要取决于动脉解剖结构和所治疗病变的具体细节。当然，个人偏好和对特定装置的熟悉程度可能会合理地影响选择某一种装置而非另一种装置的决定。
