Tievsky A L, Druy E M, Mardiat J G
AJNR Am J Neuroradiol. 1983 May-Jun;4(3):800-2.
Transluminal angioplasty of the common carotid artery was beneficial in a patient with postendarterectomy recurrent stenosis due to fibrous myointimal hyperplasia. This lesion is the major cause of restenosis within the first 24 postoperative months and has histologic characteristics quite favorable for angioplasty with minimal possibility for embolic complications. Since surgery is a proven procedure with low morbidity/mortality for most patients, the authors believe transluminal angioplasty for carotid restenosis should be limited to surgically inaccessible lesions or patients presenting unacceptable operative risk, as in the case described.
对于一名因纤维肌内膜增生导致动脉内膜切除术后复发性狭窄的患者，经腔颈动脉血管成形术是有益的。这种病变是术后24个月内再狭窄的主要原因，并且具有非常有利于血管成形术的组织学特征，发生栓塞并发症的可能性极小。由于手术对于大多数患者来说是一种已被证实的发病率/死亡率较低的方法，作者认为，颈动脉再狭窄的经腔血管成形术应仅限于手术无法触及的病变或存在不可接受手术风险的患者，如所描述的病例。
