Spacek Miloslav, Veselka Josef
Department of Cardiology, University Hospital Motol, 2nd Medical School, Charles University, Prague, Czech Republic.
Int J Angiol. 2015 Sep;24(3):205-9. doi: 10.1055/s-0035-1556842. Epub 2015 Aug 19.
Surgical carotid endarterectomy (CEA) has been proven effective in both primary and secondary stroke prevention and, until recently, has been considered the standard treatment approach for patients with severe carotid artery disease. Because of its technical limitations and less favorable outcomes, carotid artery stenting (CAS) has been offered preferably to patients considered to be too comorbid to undergo surgical treatment. However, CAS has evolved over time into a reliable method and is currently considered an alternative to CEA. The aim of this review was to discuss the historical aspects, trends, and innovations in CAS.
外科颈动脉内膜切除术(CEA)已被证明在原发性和继发性卒中预防中均有效,并且直到最近,一直被认为是重度颈动脉疾病患者的标准治疗方法。由于其技术局限性和不太理想的结果,颈动脉支架置入术(CAS)一直优先提供给那些被认为合并症太多而无法接受手术治疗的患者。然而,随着时间的推移,CAS已发展成为一种可靠的方法,目前被认为是CEA的替代方法。本综述的目的是讨论CAS的历史背景、发展趋势和创新。