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颈动脉疾病与颈动脉内膜切除术简史

A brief history of carotid artery disease and carotid endarterectomy.

作者信息

Přibáň V, Moláček J

出版信息

Rozhl Chir. 2025;104(6):235-237. doi: 10.48095/ccrvch2025235.

DOI:10.48095/ccrvch2025235
PMID:40662432
Abstract

INTRODUCTION

The authors discuss the history of carotid disease and injuries and focus on historical milestones of carotid endarterectomy worldwide and in Bohemia.

RESULTS

The first part discusses the carotid artery and ischemic stroke, beginning with Hippocrates' description of apoplexy. It then highlights Willis's discovery of the collateral circulation, followed by the 19th-century thromboembolic theory of ischemic stroke caused by carotid artery occlusion, which is associated with the work of Wirchow and Chiari. Then, in the 1950s, C. M. Fisher visionarily pointed out the possible surgical management of carotid stenosis in the prevention of stroke. In the second part, carotid ligature, treatments for arterial injuries are mentioned, starting with A. Paré in 1552, to ligature of the extracranial carotid artery for intracranial aneurysm by V. Horsley in 1885. The third part describes the history of reconstructive carotid surgery, especially carotid endarterectomy worldwide, with the priorities of Carrea, Eastcott and DeBakey in the early 1950s. The priority in Bohemia belongs to Jaroslav Lhotka, who published his results in 1962.

CONCLUSION

The authors summarize the history of carotid disease, especially carotid endarterectomy, worldwide and in Bohemia.

摘要

引言

作者探讨了颈动脉疾病和损伤的历史,并重点关注了全球及波希米亚地区颈动脉内膜切除术的历史里程碑。

结果

第一部分讨论了颈动脉与缺血性中风,始于希波克拉底对中风的描述。接着强调了威利斯对侧支循环的发现,随后是19世纪由颈动脉闭塞引起的缺血性中风的血栓栓塞理论,这与维尔肖和卡里的工作相关。然后,在20世纪50年代,C.M.费希尔有远见地指出了颈动脉狭窄在预防中风方面可能的手术治疗方法。第二部分提到了颈动脉结扎术,从1552年的A.帕雷开始,到1885年V.霍斯利为颅内动脉瘤结扎颅外颈动脉,介绍了动脉损伤的治疗方法。第三部分描述了重建性颈动脉手术的历史,特别是全球范围内的颈动脉内膜切除术,以及20世纪50年代初卡雷亚、伊斯特科特和德贝基的优先权。在波希米亚,优先权属于雅罗斯拉夫·洛特卡,他于1962年发表了他的成果。

结论

作者总结了全球及波希米亚地区颈动脉疾病,特别是颈动脉内膜切除术的历史。

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