Grunwald I Q, Papanagiotou P, Roth C, Hartmann K M, Ahlhelm F, Reith W
Abteilung für Diagnostische und Interventionelle Neuroradiologie der Radiologischen Kliniken, Universität des Saarlandes, Kirrbergerstr. 1, 66421 Homburg/Saar.
Radiologe. 2008 Jul;48(7):666-72. doi: 10.1007/s00117-008-1697-7.
In order to find the most suitable therapy concept for patients with severe stenosis of the carotid bifurcation (>70%), knowledge on the currently available treatment methods is necessary. In addition to carotid endarterectomy, medication therapy and stent angioplasty are also available. The outcome after stent angioplasty must be considered under the aspects of rapid technical development and increasing experience. Results of studies are still only of limited value with respect to the development of protection systems, flexible guiding catheters, low profile and more visible stents and balloons as well as using thrombocyte aggregation.
为了找到最适合严重颈动脉分叉狭窄(>70%)患者的治疗方案,有必要了解当前可用的治疗方法。除了颈动脉内膜切除术外,药物治疗和支架血管成形术也可供选择。鉴于技术的快速发展和经验的不断积累,必须考虑支架血管成形术后的结果。就保护系统、可弯曲引导导管、低轮廓且更易显影的支架和球囊的发展以及血小板聚集的应用而言,研究结果的价值仍然有限。