Loftus C M, Quest D O
Neurosurgery. 1987 Mar;20(3):490-5. doi: 10.1227/00006123-198703000-00026.
Carotid endarterectomy has become a routine and safe therapeutic strategy in most neurovascular centers. Wide diversity of opinion and considerable debate, however, persists concerning the ideal methods of anesthetic management, cerebral protection, intraoperative monitoring, and arterial repair. We have examined and summarized the current status of these controversies and have identified several new techniques that hold promise for further development.
在大多数神经血管中心,颈动脉内膜切除术已成为一种常规且安全的治疗策略。然而,关于麻醉管理、脑保护、术中监测及动脉修复的理想方法,仍存在广泛的意见分歧和大量的争论。我们审视并总结了这些争议的现状,并确定了几种有望进一步发展的新技术。