Hussain Sajjad, Raza Afsar, Ahmed Waqar
Department of Cardiology, Armed Forces Institute of Cardiology, National Institute of Heart Diseases, Rawalpindi.
J Coll Physicians Surg Pak. 2011 Apr;21(4):239-41.
A lady with aortitis syndrome developed in-stent restenosis (ISR) of the innominate artery stent and critical stenosis of right internal carotid artery. The therapeutic challenge was gaining access to the carotid vessel, after treating the innominate artery ISR and all the while using distal protection to circumvent potential cerebral embolism. Percutaneous transluminal angioplasty (PTA) with or without stenting is a safe therapeutic option for re-vascularization of the supra aortic vessels. In the event of re-stenosis, re-treatment with PTA and stenting is safe. Ample evidence-base exists now for carotid artery stenting (CAS) in preference to carotid endarterectomy in patients with stenotic lesions of the carotid vessels.
一名患有主动脉炎综合征的女性发生了无名动脉支架内再狭窄（ISR）以及右颈内动脉严重狭窄。治疗面临的挑战是，在治疗无名动脉ISR的同时，要进入颈动脉血管，并始终使用远端保护措施以避免潜在的脑栓塞。有或没有支架置入的经皮腔内血管成形术（PTA）是主动脉弓上血管再血管化的一种安全治疗选择。如果发生再狭窄，再次进行PTA和支架置入治疗是安全的。目前有充分的证据表明，对于有颈动脉狭窄病变的患者，颈动脉支架置入术（CAS）优于颈动脉内膜切除术。
