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[急性和择期支架血管成形术的药物治疗]

[Drug therapy for acute and elective stent angioplasty].

作者信息

Mohamad J

机构信息

Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Kirrberger Straße 1, 66424, Homburg/Saar, Deutschland.

出版信息

Radiologie (Heidelb). 2024 Sep;64(9):716-718. doi: 10.1007/s00117-024-01310-3. Epub 2024 Apr 29.

DOI:10.1007/s00117-024-01310-3
PMID:38684541
Abstract

CLINICAL ISSUE

Carotid artery stenoses are constrictions of the common carotid artery and the internal carotid artery. They cause around 15% of all cerebral ischemia, which is why their detection and correct treatment play an important role in clinical practice.

PRACTICAL RECOMMENDATIONS

Depending on the severity and clinical symptoms, carotid artery stenosis is treated conservatively, surgically or endovascularly by means of stent angioplasty. In the case of stent angioplasty in particular, correct drug therapy plays an important role in avoiding/reducing thromboembolic complications.

摘要

临床问题

颈动脉狭窄是指颈总动脉和颈内动脉的狭窄。它们导致约15%的脑缺血，这就是为什么它们的检测和正确治疗在临床实践中起着重要作用。

实际建议

根据严重程度和临床症状，颈动脉狭窄可采用保守治疗、手术治疗或通过支架血管成形术进行血管内治疗。特别是在支架血管成形术的情况下，正确的药物治疗对于避免/减少血栓栓塞并发症起着重要作用。

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