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巴西血管病学与血管外科学会颅外脑血管疾病治疗指南

Brazilian Angiology and Vascular Surgery Society Guidelines for the treatment of extracranial cerebrovascular disease.

作者信息

Ristow Arno von Buettner, Massière Bernardo, Meirelles Guilherme Vieira, Casella Ivan Benaduce, Morales Marcia Maria, Moreira Ricardo Cesar Rocha, Procópio Ricardo Jayme, Oliveira Tércio Ferreira, de Araujo Walter Jr Boim, Joviliano Edwaldo Edner, de Oliveira Júlio Cesar Peclat

机构信息

Pontifícia Universidade Católica do Rio de Janeiro - PUC-RIO, Disciplina de Cirurgia Vascular e Endovascular, Rio de Janeiro, RJ, Brasil.

Sociedade Brasileira de Angiologia e de Cirurgia Vascular - SBACV-RJ, Rio de Janeiro, RJ, Brasil.

出版信息

J Vasc Bras. 2024 May 31;23:e20230094. doi: 10.1590/1677-5449.202300942. eCollection 2024.

DOI:10.1590/1677-5449.202300942
PMID:39099701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11296686/
Abstract

Extracranial cerebrovascular disease has been the subject of intense research throughout the world, and is of paramount importance for vascular surgeons. This guideline, written by the Brazilian Society of Angiology and Vascular Surgery (SBACV), supersedes the 2015 guideline. Non-atherosclerotic carotid artery diseases were not included in this document. The purpose of this guideline is to bring together the most robust evidence in this area in order to help specialists in the treatment decision-making process. The AGREE II methodology and the European Society of Cardiology system were used for recommendations and levels of evidence. The recommendations were graded from I to III, and levels of evidence were classified as A, B, or C. This guideline is divided into 11 chapters dealing with the various aspects of extracranial cerebrovascular disease: diagnosis, treatments and complications, based on up-to-date knowledge and the recommendations proposed by SBACV.

摘要

颅外脑血管疾病一直是全球深入研究的课题,对血管外科医生至关重要。本指南由巴西血管病学和血管外科学会(SBACV)编写,取代了2015年的指南。本文件未涵盖非动脉粥样硬化性颈动脉疾病。本指南的目的是汇集该领域最有力的证据,以帮助专家进行治疗决策。推荐意见和证据水平采用AGREE II方法和欧洲心脏病学会系统。推荐意见从I级到III级进行分级,证据水平分为A、B或C级。本指南分为11章,基于最新知识和SBACV提出的建议,涉及颅外脑血管疾病的各个方面:诊断、治疗和并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338a/11296686/ab7a316a882d/jvb-23-e20230094-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338a/11296686/37c788a3bd4c/jvb-23-e20230094-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338a/11296686/ab7a316a882d/jvb-23-e20230094-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338a/11296686/37c788a3bd4c/jvb-23-e20230094-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338a/11296686/ab7a316a882d/jvb-23-e20230094-g01.jpg

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本文引用的文献

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Comparing Outcomes of Transfemoral Versus Transbrachial or Transradial Approach in Carotid Artery Stenting (CAS).经股动脉与经肱动脉或桡动脉途径行颈动脉支架置入术(CAS)的结局比较。
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Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case series.通过颈动脉血运重建治疗急性缺血性脑和眼部缺血的成功因素。一项病例系列观察性研究。
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第二代与第一代颈动脉支架的临床结局:一项系统评价和荟萃分析
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Surgical access to the distal cervical segment of the internal carotid artery and to a high carotid bifurcation - integrative literature review and protocol proposal.颈内动脉远段及高位颈动脉分叉处的手术入路——综合文献综述与方案建议
J Vasc Bras. 2022 Aug 8;21:e20210193. doi: 10.1590/1677-5449.202101931. eCollection 2022.
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Should we change our carotid stenting technique? Does balloon postdilatation increase periprocedural cranial embolism? A diffusion-weighted magnetic resonance imaging study.我们应该改变颈动脉支架置入技术吗?球囊后扩张会增加围手术期颅内栓塞吗?一项弥散加权磁共振成像研究。
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6
Clopidogrel Monotherapy After 1-Month Dual Antiplatelet Therapy in Percutaneous Coronary Intervention: From the STOPDAPT-2 Total Cohort.经皮冠状动脉介入治疗 1 个月双联抗血小板治疗后氯吡格雷单药治疗:来自 STOPDAPT-2 全队列研究。
Circ Cardiovasc Interv. 2022 Aug;15(8):e012004. doi: 10.1161/CIRCINTERVENTIONS.122.012004. Epub 2022 Aug 1.
7
Duplex Ultrasonography for the Evaluation of Extracranial Vertebral Artery: A Prospective Comparison With Digital Subtraction Angiography.双功超声检查评估颅外椎动脉:与数字减影血管造影的前瞻性比较
Front Neurol. 2022 Jun 27;13:814972. doi: 10.3389/fneur.2022.814972. eCollection 2022.
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Routine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting).颈动脉内膜切除术时常规或选择性颈动脉转流(以及选择性转流中不同的监测方法)。
Cochrane Database Syst Rev. 2022 Jun 22;6(6):CD000190. doi: 10.1002/14651858.CD000190.pub4.
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Editor's Choice - European Society for Vascular Surgery (ESVS) 2023 Clinical Practice Guidelines on the Management of Atherosclerotic Carotid and Vertebral Artery Disease.编辑推荐——欧洲血管外科学会(ESVS)2023年动脉粥样硬化性颈动脉和椎动脉疾病管理临床实践指南
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The New 2023 European Society for Vascular Surgery (ESVS) Carotid Guidelines - The European Perspective.2023年新版欧洲血管外科学会(ESVS)颈动脉指南——欧洲视角
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