Enomoto Yukiko, Yoshimura Shinichi
Department of Neurosurgery, Graduate School of Medicine, Gifu University, Gifu City, Japan.
Interv Neurol. 2013 Sep;1(3-4):151-63. doi: 10.1159/000351686.
Carotid artery stenting (CAS) is less invasive and has a lower incidence of systemic complications such as myocardial infarction compared with carotid endarterectomy. However, CAS is known to have a high incidence of ischemic complications due to distal thromboembolism. Progress has been made in the development of various distal protection devices and protection methods aimed at preventing thromboembolism. Similar to these methods, perioperative antiplatelet therapy is also able to play a very important role in the prevention of ischemic events. Dual antiplatelet therapy has become standard for perioperative management of CAS.
与颈动脉内膜切除术相比,颈动脉支架置入术(CAS)侵入性较小,且心肌梗死等全身并发症的发生率较低。然而,由于远端血栓栓塞,CAS已知具有较高的缺血性并发症发生率。在旨在预防血栓栓塞的各种远端保护装置和保护方法的开发方面已经取得了进展。与这些方法类似,围手术期抗血小板治疗在预防缺血事件方面也能够发挥非常重要的作用。双联抗血小板治疗已成为CAS围手术期管理的标准。