Martin N A, Hadley M N, Spetzler R F, Carter L P
Neurosurgery. 1986 Apr;18(4):505-13. doi: 10.1227/00006123-198604000-00026.
The detection, evaluation, and treatment of patients with asymptomatic carotid artery disease are controversial issues. In this review, these issues are addressed and the appropriate application of medical and surgical therapies is discussed. There seem to be two subgroups of asymptomatic patients with angiographically defined lesions (marked stenosis or large, deep, and compound ulcers) who have a significant risk of subsequent cerebral infarction. These patients should be considered for carotid endarterectomy at a surgical center with an established low incidence of perioperative complications.
无症状性颈动脉疾病患者的检测、评估及治疗是存在争议的问题。在本综述中，将探讨这些问题，并讨论药物治疗和手术治疗的合理应用。血管造影显示有病变（明显狭窄或大的、深部的及复合型溃疡）的无症状患者似乎可分为两个亚组，这些患者随后发生脑梗死的风险较高。对于这些患者，应考虑在围手术期并发症发生率较低的外科中心进行颈动脉内膜切除术。
