Section of Cardiovascular Disease, Department of Applied Experimental Medicine, Brescia University, Brescia, Italy.
J Investig Med. 2013 Aug;61(6):956-66. doi: 10.2310/JIM.0b013e31829cbe04.
Aortic atherosclerosis is the most common disease of the aortic arch, and patients with complicated aortic atheroma should be considered at risk of stroke. There is indeed controversy about whether and how to treat these patients. This review analyzes the literature data about the epidemiology, the association between atheroma and stroke, the classification of aortic atheroma plaques, the imaging diagnostic process, the therapeutics options, and the clinical trials performed in this clinical setting.
主动脉粥样硬化是主动脉弓最常见的疾病，患有复杂主动脉粥样硬化的患者应被视为有中风风险。对于是否以及如何治疗这些患者确实存在争议。本综述分析了关于该临床情况下的流行病学、动脉粥样硬化与中风之间的关联、动脉粥样硬化斑块的分类、影像学诊断过程、治疗选择以及临床试验的文献数据。
