Friedman S G, Lamparello P J, Riles T S, Imparato A M
Division of Vascular Surgery, North Shore University Hospital, Manbasset, NY.
Arch Surg. 1988 Apr;123(4):497-9. doi: 10.1001/archsurg.1988.01400280107022.
Numerous reports describe the relative effectiveness of external carotid artery (ECA) revascularization in patients with ipsilateral internal carotid artery occlusion. Most, however, suffer from small numbers of patients or lack of detailed follow-up data. In addition, controversy persists regarding the safety with which this procedure can be performed. Twenty-two patients underwent a total of 27 ECA revascularizations. There were no perioperative strokes or deaths. During a mean follow-up period of 46 months, no strokes occurred and only two patients suffered transient ischemic attacks. Revascularization of the ECA is an effective means of treating the patient with ipsilateral internal carotid artery occlusion and may be performed with minimal morbidity and mortality.
许多报告描述了颈外动脉（ECA）血管重建术对同侧颈内动脉闭塞患者的相对有效性。然而，大多数报告存在患者数量少或缺乏详细随访数据的问题。此外，关于该手术实施的安全性仍存在争议。22例患者共接受了27次ECA血管重建术。围手术期无卒中或死亡发生。在平均46个月的随访期内，无卒中发生，仅有2例患者发生短暂性脑缺血发作。ECA血管重建术是治疗同侧颈内动脉闭塞患者的有效方法，且实施时可将发病率和死亡率降至最低。
