Maurer P C, Hopfner R, Bonke S, Lange J
MMW Munch Med Wochenschr. 1977 Apr 29;119(17):577-82.
Reconstruction of carotid arteries should preferably be a prophylactic measure and only in exceptional cases a therapeutic procedure. The best results are seen in stage I (asymptomatic) or in stage II (transient ischemic attacks). Surgical intervention in acute cerebral vascular insufficiency is indicated only with a conscious patient with a negative brain scan and without progressing symptoms (stage III a). In stage IIIb (progressive stroke) and stage IVa (acute completed stroke) operative treatment is contraindicated because of a high mortality rate. In accidents with persisting neurologic symptoms (completed stroke more than 2 weeks old) necessary reconstruction of the contralateral vessel is indicated.
颈动脉重建术最好作为一种预防性措施，仅在特殊情况下作为一种治疗手段。在I期（无症状）或II期（短暂性脑缺血发作）时效果最佳。仅在清醒、脑部扫描阴性且症状无进展的患者（IIIa期）中，才对急性脑血管功能不全进行手术干预。在IIIb期（进行性卒中）和IVa期（急性完全性卒中），由于死亡率高，手术治疗是禁忌的。在有持续神经症状的事故（超过2周的完全性卒中）中，对侧血管的必要重建是有指征的。
