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颈动脉疾病的最新进展

Update in Carotid Disease.

作者信息

Kazantsev Anton Nikolaevich, Korotkikh Alexander Vladimirovich, Unguryan Vladimir Mikhailovich, Belov Yuriy Vladimirovich

机构信息

Kostroma Regional Clinical Hospital named after Korolev E.I., Kostroma, Russian Federation; Kostroma oncological dispensary, Kostroma, Russian Federation.

Clinic of Cardiac Surgery of the Amur State Medical Academy of the Ministry of Health of Russia, Blagoveshchensk, Russian Federation.

出版信息

Curr Probl Cardiol. 2023 Jun;48(6):101676. doi: 10.1016/j.cpcardiol.2023.101676. Epub 2023 Feb 23.

Abstract

This review of the literature analyzes publications over the past five years on various problems associated with carotid endarterectomy: 1. Is the eversion or classical technique of surgery with plastic repair of the reconstruction area with a patch more effective? 2. Carotid endarterectomy or carotid angioplasty with stenting is more optimal? 3. When should brain revascularization be performed after the development of ischemic stroke? 4. Should a temporary shunt be used to protect the brain during carotid endarterectomy? 5. How to prevent and treat different types of intraoperative ischemic strokes? 6. What tactics of treatment of patients with combined lesions of the carotid and coronary arteries is more effective? 7. What are the causes and methods of elimination of restenosis of the internal carotid artery known? 8. Is carotid endarterectomy safe in old age?

摘要

这篇文献综述分析了过去五年中关于颈动脉内膜切除术相关各种问题的出版物

  1. 外翻式手术或采用补片对重建区域进行整形修复的经典手术技术哪种更有效?2. 颈动脉内膜切除术或颈动脉血管成形术加支架置入哪种更优?3. 缺血性中风发生后何时应进行脑血运重建?4. 颈动脉内膜切除术期间是否应使用临时分流管来保护大脑?5. 如何预防和治疗不同类型的术中缺血性中风?6. 治疗合并颈动脉和冠状动脉病变患者的哪种策略更有效?7. 已知颈内动脉再狭窄的原因及消除方法有哪些?8. 老年患者进行颈动脉内膜切除术是否安全?

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