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症状发作后超急性期优化颈动脉支架置入安全性的策略。

Strategies for optimizing the safety of carotid stenting in the hyperacute period after onset of symptoms.

作者信息

Van Den Berg J C

机构信息

Head of Service of Interventional Radiology Lugano Regional Hospital, Lugano, Switzerland.

出版信息

J Cardiovasc Surg (Torino). 2014 Apr;55(2 Suppl 1):21-32.

PMID:24796895
Abstract

The majority of patients with symptomatic carotid artery stenosis will benefit from early intervention with carotid endarterectomy (CEA). Carotid artery stenting (CAS) can be an alternative to CEA in selected cases. This paper will deal with the technical aspects of CAS in the emergency setting, including the use of embolic protection devices and will also discuss the pharmacologic management and treatment of complications. A review of the literature will be presented.

摘要

大多数有症状的颈动脉狭窄患者将从早期颈动脉内膜切除术(CEA)干预中获益。在特定情况下,颈动脉支架置入术(CAS)可作为CEA的替代方案。本文将探讨急诊情况下CAS的技术方面,包括栓塞保护装置的使用,还将讨论并发症的药物管理和治疗。并将对相关文献进行综述。

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Strategies for optimizing the safety of carotid stenting in the hyperacute period after onset of symptoms.症状发作后超急性期优化颈动脉支架置入安全性的策略。
J Cardiovasc Surg (Torino). 2014 Apr;55(2 Suppl 1):21-32.
2
Debate: Whether carotid endarterectomy is safer than stenting in the hyperacute period after onset of symptoms.
J Vasc Surg. 2015 Jun;61(6):1642-51. doi: 10.1016/j.jvs.2015.02.046.
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Carotid revascularization outcomes comparing distal filters, flow reversal, and endarterectomy.比较远端滤器、血流逆转和内膜切除术的颈动脉血运重建结果。
J Vasc Surg. 2011 Oct;54(4):1000-4; discussion 1004-5. doi: 10.1016/j.jvs.2011.03.279. Epub 2011 Aug 25.
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Carotid artery stenting may be performed safely in patients with radiation therapy-associated carotid stenosis without increased restenosis or target lesion revascularization.对于因放疗导致颈动脉狭窄的患者,实施颈动脉支架置入术可能是安全的,且不会增加再狭窄或靶病变血运重建的风险。
J Vasc Surg. 2015 Sep;62(3):624-30. doi: 10.1016/j.jvs.2015.04.390.
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Treatment of significant carotid artery stenosis in 1824 patients.1824例严重颈动脉狭窄的治疗
J Cardiovasc Surg (Torino). 2015 Feb;56(1):107-18. Epub 2013 Jun 3.
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Unprotected carotid artery stenting in modern practice.现代实践中的无保护颈动脉支架置入术。
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Is carotid artery stenting a fair alternative to carotid endarterectomy for symptomatic carotid artery stenosis? A commentary on the AHA/ASA guidelines.颈动脉支架置入术是否是症状性颈动脉狭窄患者颈动脉内膜切除术的合理替代方法?对 AHA/ASA 指南的评论。
J Vasc Surg. 2011 Aug;54(2):541-3; discussion 543. doi: 10.1016/j.jvs.2011.05.052.
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Mechanisms to explain the poor results of carotid artery stenting (CAS) in symptomatic patients to date and options to improve CAS outcomes.迄今为止,解释症状性患者颈动脉支架置入术(CAS)效果不佳的机制,以及改善 CAS 结果的选择。
J Vasc Surg. 2010 Nov;52(5):1367-75. doi: 10.1016/j.jvs.2010.04.019. Epub 2010 Jul 17.
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State of the art in carotid artery stenting: trial data, technical aspects, and limitations.颈动脉支架置入术的最新进展:试验数据、技术要点及局限性
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Carotid endarterectomy or carotid artery stenting? Matching the patient to the intervention.颈动脉内膜切除术还是颈动脉支架置入术?使患者与干预措施相匹配。
Perspect Vasc Surg Endovasc Ther. 2010 Jun;22(2):124-36. doi: 10.1177/1531003510381136.

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