Division of Vascular Surgery, New York, NY 10029, USA.
Curr Cardiol Rep. 2011 Feb;13(1):24-9. doi: 10.1007/s11886-010-0146-1.
The management of asymptomatic carotid stenosis has been a topic of considerable debate. In this article, we aim to critically review the recent literature as it pertains to surgical management of asymptomatic carotid stenosis. We will explore the most recent trials looking at advancements in best medical therapy, as well as trials that compare traditional carotid endarterectomy to carotid stenting. In addition, we will review the current literature on surgical technique and perioperative risk management. Overall, our current recommendation is for surgical management of asymptomatic carotid disease for stenoses ≥ 80% in patients who are of reasonable perioperative risk.
无症状颈动脉狭窄的管理一直是一个备受争议的话题。在本文中，我们旨在批判性地回顾与无症状颈动脉狭窄的手术治疗相关的最新文献。我们将探讨最近在最佳药物治疗方面的进展试验，以及比较传统颈动脉内膜切除术与颈动脉支架置入术的试验。此外，我们还将回顾关于手术技术和围手术期风险管理的当前文献。总的来说，我们目前的建议是对有合理围手术期风险的患者，狭窄程度≥80%的无症状颈动脉疾病进行手术治疗。
