Hargraves R W, Theodore N, Pulliam M W
Department of Neurosurgery, National Naval Medical Center, Bethesda, MD 20889-5000, USA.
Mil Med. 1995 Mar;160(3):107-9.
Carotid atherosclerosis affects thousands of individuals each year. A history of transient ischemic attacks should alert the clinician to the possibility of carotid artery disease. Carotid endarterectomy is of proven benefit in both symptomatic and asymptomatic individuals, with angiographically confirmed carotid stenosis of from 70 to 99%, respectively. Guidelines for the diagnostic and preoperative screening procedures as well as the surgical technique used by the Department of Neurosurgery at the National Naval Medical Center are reviewed.
每年有数千人受颈动脉粥样硬化影响。短暂性脑缺血发作史应提醒临床医生注意颈动脉疾病的可能性。颈动脉内膜切除术已被证明对有症状和无症状的患者均有益，分别适用于血管造影证实颈动脉狭窄70%至99%的患者。本文回顾了国家海军医疗中心神经外科的诊断和术前筛查程序指南以及所采用的手术技术。
