Špaček Miloslav, Veselka Josef
Vnitr Lek. 2014 Dec;60(12):1072-5.
Surgical carotid endarterectomy is traditionally considered the standard approach for the treatment of atherosclerotic carotid artery disease based on its long history of favorable outcomes. Many of the patients could, however, be offered carotid artery stenting (CAS), which has over time evolved into an elaborate method. With proper selection of patients, CAS provides comparable long-term outcomes and very low risk of periprocedural complication. This article summarises the current knowledge, trends and innovations in CAS.
传统上,基于其长期良好的治疗效果,外科颈动脉内膜切除术被认为是治疗动脉粥样硬化性颈动脉疾病的标准方法。然而,许多患者可以选择颈动脉支架置入术(CAS),随着时间的推移,这种方法已经发展成为一种精细的治疗手段。通过对患者的合理选择,CAS能提供相当的长期治疗效果,且围手术期并发症风险极低。本文总结了CAS的当前知识、趋势和创新。