Gavrilenko A V, Skrylev S I, Kravchenko A A, Novikov A V
Petrovsky Russian Research Center for Surgery, Vascular Surgery Department.
Neurology Research Center, Department of Vascular and Endovascular Surgery, Moscow, Russia.
Khirurgiia (Mosk). 2018(4):52-56. doi: 10.17116/hirurgia2018452-56.
To determine surgical risk factors and to compare early outcomes after carotid endarterectomy and carotid stenting in patients with internal carotid artery stenosis and contralateral occlusion.
132 patients were enrolled. 62 and 70 patients underwent carotid endarterectomy and carotid stenting respectively. Early postoperative results were compared depending on type of surgical intervention and presence of risk factors.
Significant difference between groups was only found for incidence of neuropathy of the cranial nerves. It was established that cardiac comorbidities are risk factors for adverse events after carotid endarterectomy. Stable (homogeneous) atherosclerotic plaque with clear contour and no ulceration is optimal for carotid stenting.
确定手术风险因素，并比较颈内动脉狭窄合并对侧闭塞患者行颈动脉内膜切除术和颈动脉支架置入术后的早期结果。
纳入132例患者。分别有62例和70例患者接受了颈动脉内膜切除术和颈动脉支架置入术。根据手术干预类型和风险因素的存在情况比较术后早期结果。
仅在颅神经病变发生率方面发现组间存在显著差异。已确定心脏合并症是颈动脉内膜切除术后不良事件的风险因素。轮廓清晰且无溃疡的稳定（均匀）动脉粥样硬化斑块最适合进行颈动脉支架置入术。
