Bartynski W S, Darbouze P, Nemir P
Am J Surg. 1981 Mar;141(3):353-7. doi: 10.1016/0002-9610(81)90195-1.
The results of 210 endarterectomies in 174 patients are reviewed. The average age was 60.3 years for women and 62.1 years for men, with women comprising 53 percent of the population. Pathologic evaluation of tissue removed at time of surgery revealed macroscopic ulcerations in 50 percent of specimens and microscopic ulcerations in 33 percent, with 15 percent of specimens having both macroscopic and microscopic ulcerations. We were unable to identify a set of factors on the basis of symptoms or preoperative studies that would unequivocally indicate ulceration, but we believe that this study reinforces the concept that atheromatous embolization is probably a more frequent remedial cause of transient ischemic attacks than ischemia secondary to large vessel disease.
回顾了174例患者210次动脉内膜切除术的结果。女性的平均年龄为60.3岁，男性为62.1岁，女性占总人数的53%。手术时切除组织的病理评估显示，50%的标本有肉眼可见的溃疡，33%有显微镜下可见的溃疡，15%的标本同时有肉眼和显微镜下可见的溃疡。我们无法根据症状或术前研究确定一组能明确提示溃疡的因素，但我们认为这项研究强化了这样一个概念，即动脉粥样硬化栓塞可能是短暂性脑缺血发作比大血管疾病继发缺血更常见的补救原因。
