Massara Mafalda, Notarstefano Stefano, Gerardi Pasquale, Prunella Roberto, Impedovo Giovanni
Vascular and Endovascular Surgery Unit, SS Annunziata Hospital, Via Leonida 49, Taranto, Italy.
Vascular and Endovascular Surgery Unit, SS Annunziata Hospital, Via Leonida 49, Taranto, Italy.
Semin Vasc Surg. 2018 Jun-Dec;31(2-4):88-90. doi: 10.1053/j.semvascsurg.2018.12.004. Epub 2018 Dec 21.
The indication for carotid artery stenosis treatment is based primarily on the severity of internal carotid stenosis. There is increasing evidence that unstable plaques in the extracranial carotid artery can be responsible for ischemic stroke or transient ischemic attacks as the source of emboli, even if in the presence of a moderate stenosis. Physicians should be aware that morphological characteristics of the carotid plaques that indicate recent intra-plaque hemorrhage might require intervention in the absence of severe stenosis. This report details a patient with an unstable plaque in the common carotid artery who met clinical criteria for intervention because of the risk for future stroke.
颈动脉狭窄治疗的指征主要基于颈内动脉狭窄的严重程度。越来越多的证据表明，即使存在中度狭窄，颅外颈动脉的不稳定斑块也可能作为栓子来源导致缺血性中风或短暂性脑缺血发作。医生应意识到，即使在没有严重狭窄的情况下，提示近期斑块内出血的颈动脉斑块形态学特征可能也需要进行干预。本报告详细介绍了一名颈总动脉存在不稳定斑块的患者，该患者因未来有中风风险而符合干预的临床标准。
