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急性颈动脉支架血栓形成病例报告及文献综述述评

Commentary on a case report and literature review of acute carotid stent thrombosis.

作者信息

Willman Matthew, Lucke-Wold Brandon

机构信息

College of Medicine, University of Florida, Gainesville, FL 32610, United States.

Department of Neurosurgery, University of Florida, Gainesville, Florida 32608, United States.

出版信息

World J Clin Cases. 2023 Mar 6;11(7):1666-1668. doi: 10.12998/wjcc.v11.i7.1666.

DOI:10.12998/wjcc.v11.i7.1666
PMID:36926393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10011977/
Abstract

In this commentary on the article entitled "Acute carotid stent thrombosis: A case report and literature review", the key points of the article are discussed. Acute carotid stent thrombosis (ACST) in the setting of carotid artery stenting (CAS) represents a rare but potentially catastrophic event. There is a wide range of treatment options available, including carotid endarterectomy, which is generally recommended for cases of refractory ACST. While there is no standard treatment regimen, dual antiplatelet therapy is typically recommended both before and after CAS to reduce risk of ACST.

摘要

在这篇对题为《急性颈动脉支架血栓形成:一例病例报告及文献综述》的文章的评论中,讨论了该文章的要点。在颈动脉支架置入术(CAS)背景下的急性颈动脉支架血栓形成(ACST)是一种罕见但可能具有灾难性的事件。有多种治疗选择可供使用,包括颈动脉内膜切除术,对于难治性ACST病例通常推荐采用该方法。虽然没有标准的治疗方案,但通常建议在CAS前后均进行双重抗血小板治疗以降低ACST的风险。

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本文引用的文献

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World J Clin Cases. 2022 Sep 16;10(26):9310-9317. doi: 10.12998/wjcc.v10.i26.9310.
2
Stent Design, Restenosis and Recurrent Stroke After Carotid Artery Stenting in the International Carotid Stenting Study.支架设计、颈动脉支架置入术后再狭窄和复发性卒中:国际颈动脉支架研究。
Stroke. 2019 Nov;50(11):3013-3020. doi: 10.1161/STROKEAHA.118.024076. Epub 2019 Sep 24.
3
Overview of evidence on risk factors and early management of acute carotid stent thrombosis during the last two decades.过去二十年中急性颈动脉支架内血栓形成的危险因素和早期管理的证据概述。
J Vasc Surg. 2019 Mar;69(3):952-964. doi: 10.1016/j.jvs.2018.09.053.
4
Restenosis and risk of stroke after stenting or endarterectomy for symptomatic carotid stenosis in the International Carotid Stenting Study (ICSS): secondary analysis of a randomised trial.症状性颈动脉狭窄患者支架置入或内膜切除术治疗后再狭窄和卒中风险:国际颈动脉支架研究(ICSS)的二次分析随机试验。
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Cerebral Neuromonitoring during Carotid Endarterectomy and Impact of Contralateral Internal Carotid Occlusion.颈动脉内膜切除术中的脑神经元监测及对侧颈内动脉闭塞的影响
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Interv Neurol. 2015 Mar;3(2):67-77. doi: 10.1159/000369480.
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ESVS guidelines. Invasive treatment for carotid stenosis: indications, techniques.欧洲血管外科学会指南。颈动脉狭窄的侵入性治疗:适应症、技术。
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J Endovasc Surg. 1996 Feb;3(1):42-62. doi: 10.1583/1074-6218(1996)003<0042:SITCAI>2.0.CO;2.
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