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颈动脉狭窄、卒中和颈动脉血运重建。

Carotid stenosis, stroke, and carotid artery revascularization.

机构信息

Triad Radiology Associates, Novant Health Forsyth Medical Center, Winston Salem, NC, United States of America.

Wake Forest University School of Medicine, Winston Salem, NC, United States of America.

出版信息

Prog Cardiovasc Dis. 2021 Mar-Apr;65:49-54. doi: 10.1016/j.pcad.2021.03.005. Epub 2021 Mar 18.

DOI:10.1016/j.pcad.2021.03.005
PMID:33744381
Abstract

Atherosclerotic disease of the carotid artery places patients at risk of ischemic stroke and consequently is a target of medical, endovascular and open surgical management. Various imaging modalities are used to characterize anatomy/severity of carotid disease and justify intervention, each having advantages and disadvantages. Carotid revascularization techniques including carotid artery stenting, carotid endarterectomy, and transcarotid artery revascularization vary in invasiveness and are not equally suitable for certain subsets of patients. As such, providing quality care for patients with carotid disease requires a multidisciplinary team of experts in clinical diagnosis, image interpretation, medical management, endovascular intervention, and surgical treatment.

摘要

颈动脉粥样硬化性疾病使患者有发生缺血性脑卒中的风险,因此成为了医学、血管内和开放手术治疗的目标。各种影像学方法被用于描述颈动脉疾病的解剖结构/严重程度,并为干预提供依据,每种方法都有其优点和缺点。颈动脉血运重建技术包括颈动脉支架置入术、颈动脉内膜切除术和经颈动脉血运重建术,其侵入性不同,并不适用于某些特定患者群体。因此,为颈动脉疾病患者提供高质量的护理需要一个多学科专家团队,包括临床诊断、影像解读、医学管理、血管内介入和手术治疗方面的专家。

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