Section of Cardiovascular Medicine, Yale New Haven Hospital, New Haven, CT 06511, USA. Electronic address: https://twitter.com/Mahesh_maidsh.
Section of Cardiovascular Medicine, Yale New Haven Hospital, New Haven, CT 06511, USA.
Interv Cardiol Clin. 2020 Apr;9(2):139-152. doi: 10.1016/j.iccl.2019.12.008.
Carotid atherosclerosis most frequently manifests in the proximal internal carotid artery and the common carotid artery bifurcations. Subclavian artery atherosclerosis affects the proximal segments with a relatively higher incidence on the left and becomes clinically important in the presence of vertebrobasilar insufficiency or coronary steal. Atherosclerosis of the vertebral artery can lead to posterior circulation stroke. The authors review the major trials on carotid carotid, brachiocephalic and vertebral artery stenosis along with the various available diagnostic and interventional techniques.
颈动脉粥样硬化最常发生于颈内动脉近端和颈总动脉分叉处。锁骨下动脉粥样硬化影响近端节段，左侧发生率相对较高，在存在椎基底动脉不足或冠状动脉窃血时具有临床重要性。椎动脉粥样硬化可导致后循环卒中。作者回顾了有关颈动脉、头臂动脉和椎动脉狭窄的主要试验以及各种可用的诊断和介入技术。
