Department of Internal Medicine, Yale-New Haven Hospital, New Haven, Connecticut, USA.
Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Postgrad Med J. 2016 Sep;92(1091):532-9. doi: 10.1136/postgradmedj-2015-133689. Epub 2016 Jun 17.
Stroke remains a significant contributor to morbidity and mortality in developed countries. Carotid artery stenosis is a major cause of stroke. Advances in medical therapy, surgical technique and endovascular maturation has resulted in options for the treatment of carotid stenosis. Here, we present a review of carotid artery stenting and carotid endarterectomy as it applies to trials comparing and contrasting the two treatment options. We also explore the intricacies surrounding reimbursement of these treatment strategies in the USA.
中风仍然是发达国家发病率和死亡率的主要原因之一。颈动脉狭窄是中风的一个主要原因。医学治疗、手术技术和血管内治疗的进步为颈动脉狭窄的治疗提供了多种选择。在这里,我们回顾了颈动脉支架置入术和颈动脉内膜切除术,以及它们在比较和对比两种治疗方案的试验中的应用。我们还探讨了这些治疗策略在美国报销方面的复杂性。