Grebe M T, Sternitzky R
Gemeinschaftspraxis im Erlenringcenter, Herz- und Gefäßzentrum Marburg, Erlenring 19, 35037, Marburg, Deutschland,
Herz. 2013 Dec;38(8):848-54. doi: 10.1007/s00059-013-3985-x.
The article summarizes the recommendations of current European and American guidelines concerning the diagnosis and treatment of peripheral arterial occlusive disease and carotid artery stenosis. In comparison to older recommendations, current guidelines concerning endovascular treatment and concomitant medical therapy have been changed in recent years. With the exception of very complex and long lesions, endovascular methods are seen as the therapy of choice for revascularization of the iliac and femoral arteries. For cardiovascular risk reduction, patients with symptomatic peripheral arterial disease and stenosis of the carotid arteries should receive antiplatelet as well as statin therapy and should not be treated different from patients with coronary artery disease.
本文总结了当前欧美指南中关于外周动脉闭塞性疾病和颈动脉狭窄的诊断与治疗建议。与以往的建议相比,近年来关于血管内治疗及辅助药物治疗的现行指南有所变化。除了非常复杂和长段病变外,血管内方法被视为髂动脉和股动脉血运重建的首选治疗方式。为降低心血管风险,有症状的外周动脉疾病和颈动脉狭窄患者应接受抗血小板及他汀类药物治疗,且治疗方式应与冠状动脉疾病患者无异。