Interventional Cardiovascular Unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Italy
Interventional Cardiovascular Unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Italy.
Eur Heart J. 2015 Jan 1;36(1):13-21. doi: 10.1093/eurheartj/ehu446. Epub 2014 Dec 21.
In patients with carotid disease, the purpose of carotid artery revascularization is stroke prevention. For >50 years, carotid endarterectomy has been considered the standard treatment for severe asymptomatic and symptomatic carotid stenoses. Carotid artery stenting (CAS) has emerged in the last 15 years as minimally invasive alternative to surgery. However, the value of the endovascular approach in the management of carotid disease patients remains highly controversial. The aims of this review are to elucidate the current role of CAS, to describe the major technology advancements in the field, and to speculate about the future of this therapy.
在颈动脉疾病患者中，颈动脉血运重建的目的是预防卒中。50 多年来，颈动脉内膜切除术一直被认为是严重无症状和有症状颈动脉狭窄的标准治疗方法。颈动脉支架置入术（CAS）作为一种微创替代手术方法在过去 15 年中出现。然而，血管内方法在颈动脉疾病患者管理中的价值仍然存在很大争议。本文旨在阐明 CAS 的当前作用，描述该领域的主要技术进展，并对该治疗方法的未来进行推测。
