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并存的冠状动脉和颈动脉疾病——采用何种技术及顺序？病例报告与文献综述

Coexisting Coronary and Carotid Artery Disease - Which Technique and in Which Order? Case Report and Review of Literature.

作者信息

Manthey Sina, Spears Jenna, Goldberg Sheldon

机构信息

Department of Medicine, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA, USA.

Department of Cardiology, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA, USA.

出版信息

Clin Med Insights Cardiol. 2020 Aug 27;14:1179546820951797. doi: 10.1177/1179546820951797. eCollection 2020.

DOI:10.1177/1179546820951797
PMID:32922112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7457702/
Abstract

Coexisting carotid artery stenosis and coronary artery disease is common and there is currently no consensus in treatment guidelines on the timing, sequence and methods of revascularization. We report a case of a patient with symptomatic triple vessel coronary artery disease as well as asymptomatic severe right internal carotid artery stenosis. Our patient underwent myocardial revascularization first, because she presented with unstable angina and was asymptomatic neurologically. This article summarizes current literature about the approach to carotid and coronary artery revascularization and addresses the decision-making process regarding the timing and sequence of revascularization.

摘要

并存的颈动脉狭窄和冠状动脉疾病很常见，目前治疗指南在血运重建的时机、顺序和方法上尚无共识。我们报告一例患者，患有有症状的三支血管冠状动脉疾病以及无症状的严重右颈内动脉狭窄。我们的患者首先接受了心肌血运重建，因为她表现为不稳定型心绞痛且神经系统无症状。本文总结了当前关于颈动脉和冠状动脉血运重建方法的文献，并探讨了血运重建时机和顺序的决策过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae6/7457702/59977571bf22/10.1177_1179546820951797-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae6/7457702/3b7c2d3793c7/10.1177_1179546820951797-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae6/7457702/d96504273fc4/10.1177_1179546820951797-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae6/7457702/fc68b4df276a/10.1177_1179546820951797-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae6/7457702/d34f3b9423a9/10.1177_1179546820951797-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae6/7457702/59977571bf22/10.1177_1179546820951797-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae6/7457702/3b7c2d3793c7/10.1177_1179546820951797-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae6/7457702/d96504273fc4/10.1177_1179546820951797-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae6/7457702/fc68b4df276a/10.1177_1179546820951797-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae6/7457702/d34f3b9423a9/10.1177_1179546820951797-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae6/7457702/59977571bf22/10.1177_1179546820951797-fig5.jpg

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引用本文的文献

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本文引用的文献

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Synchronous versus Staged Carotid Endarterectomy and Coronary Artery Bypass Graft for Patients with Concomitant Severe Coronary and Carotid Artery Stenosis: A Systematic Review and Meta-analysis.同步与分期行颈动脉内膜切除术和冠状动脉搭桥术治疗合并严重冠状动脉和颈动脉狭窄患者：一项系统评价和荟萃分析
Ann Vasc Surg. 2020 Feb;63:427-438.e1. doi: 10.1016/j.avsg.2019.09.007. Epub 2019 Oct 17.
2
National Patterns of Carotid Revascularization Before and After the Carotid Revascularization Endarterectomy vs Stenting Trial (CREST).颈动脉内膜切除术与支架置入术试验（CREST）前后颈动脉血运重建的国家模式。
JAMA Neurol. 2018 Jan 1;75(1):51-57. doi: 10.1001/jamaneurol.2017.3496.
3
Comparison of Trends and In-Hospital Outcomes of Concurrent Carotid Artery Revascularization and Coronary Artery Bypass Graft Surgery: The United States Experience 2004 to 2012.
比较 2004 年至 2012 年美国同期颈动脉血运重建术和冠状动脉旁路移植术的趋势和院内结局。
JACC Cardiovasc Interv. 2017 Feb 13;10(3):286-298. doi: 10.1016/j.jcin.2016.11.032.
4
Carotid Stenting Prior to Coronary Bypass Surgery: An Updated Systematic Review and Meta-Analysis.冠状动脉搭桥手术前的颈动脉支架置入术：一项更新的系统评价和荟萃分析。
Eur J Vasc Endovasc Surg. 2017 Mar;53(3):309-319. doi: 10.1016/j.ejvs.2016.12.019. Epub 2017 Jan 13.
5
Recent Update on Carotid Endarterectomy versus Carotid Artery Stenting.颈动脉内膜切除术与颈动脉支架置入术的最新进展
Cerebrovasc Dis. 2017;43(1-2):68-75. doi: 10.1159/000453282. Epub 2016 Nov 30.
6
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