Nikas D N, Sacca S, Penzo C, Pacchioni A, Torsello G, Reimers B
Cardiology Department, Ioannina University Hospital, Ioannina Medical School, Ioannina, Greece.
J Cardiovasc Surg (Torino). 2013 Feb;54(1):83-91.
Carotid artery stenting (CAS) is nowadays considered as alternative therapeutic option to carotid endarterectomy for patients suffering from carotid artery disease. Recent studies and meta-analyses have demonstrated equal performance of carotid stenting to endarterectomy as regard as the overall adverse events (death/stroke rates), especially when periprocedural myocardial infarction and nerve pulses are also included. However, carotid stenting was inferior to endarterectomy when compared in terms of acute and late embolic events. In the present review, we collect all studies available in the published literature regarding the late embolic events. We mainly attempted to gather data regarding the silent embolic events occurring after the acute post-procedural period. We analyzed the results and reported the incidence of the problem. Finally, we aimed to identify possible causes and propose effective solutions to reduce the incidence of late embolic events.
对于患有颈动脉疾病的患者，如今颈动脉支架置入术（CAS）被视为颈动脉内膜切除术的替代治疗选择。最近的研究和荟萃分析表明，就总体不良事件（死亡率/中风率）而言，颈动脉支架置入术与内膜切除术的效果相当，尤其是在将围手术期心肌梗死和神经脉冲也纳入考量时。然而，在急性和晚期栓塞事件方面进行比较时，颈动脉支架置入术不如内膜切除术。在本综述中，我们收集了已发表文献中所有关于晚期栓塞事件的研究。我们主要试图收集有关术后急性期过后发生的无症状栓塞事件的数据。我们分析了结果并报告了该问题的发生率。最后，我们旨在确定可能的原因并提出有效的解决方案，以降低晚期栓塞事件的发生率。
