Tsai F Y, Matovich V, Hieshima G, Shah D C, Mehringer C M, Tiu G, Higashida R, Pribram H F
AJNR Am J Neuroradiol. 1986 Mar-Apr;7(2):349-58.
Percutaneous transluminal angioplasty (PTA) is being extensively applied to treat arteriosclerotic lesions. However, this application has not been widely accepted for the treatment of carotid artery stenosis. Successful attempts to relieve cerebral ischemia from extracranial carotid arterial stenosis by PTA are reported. Twenty-seven patients with arteriosclerotic stenosis, fibromuscular disease, and Takayasu carotid arterial stenosis were treated by PTA. All anatomic carotid stenotic lesions were corrected without any neurologic complication. Follow-ups ranged from 3 months to 4 years without recurrent symptoms in any patient. These results may suggest that some patients with cerebral ischemia secondary to extracranial carotid artery stenosis may be treated safely and effectively by PTA.
经皮腔内血管成形术（PTA）正被广泛应用于治疗动脉硬化性病变。然而，这种应用在治疗颈动脉狭窄方面尚未被广泛接受。有报道称通过PTA成功缓解了颅外颈动脉狭窄所致的脑缺血。27例患有动脉硬化性狭窄、纤维肌性疾病和高安氏颈动脉狭窄的患者接受了PTA治疗。所有解剖学上的颈动脉狭窄病变均得到纠正，且无任何神经并发症。随访时间从3个月至4年不等，所有患者均无复发症状。这些结果可能表明，一些因颅外颈动脉狭窄继发脑缺血的患者可以通过PTA得到安全有效的治疗。
