Schurig E, Kriebel J, Fischler M, Sindermann F
Arch Psychiatr Nervenkr (1970). 1977 Feb 23;223(2):99-105. doi: 10.1007/BF00345949.
Angiographic and/or operative follow up studies on 19 patients with angiographically demonstrated subtotal carotid artery stenosis showed the following results: In 3 out of 16 cases where no immediate operation of the stenosis was performed, complete occlusion followed within a week of the angiographic demonstration of the stenosis. Though intramural artifacts did not occur, this could be a consequence of the angiographic procedure (temporary fall of blood pressure?). In 4 out of 7 cases with subtotal stenosis where the diagnosis was known for at least 6 months, no occlusion occurred. The blood flow through a subtotal carotid artery stenosis might not be as small as is usually assumed, as illustrated by 2 out of 3 cases where a definite increase in the symptoms occurred on complete occlusion of the the vessel. The results indicate that cases of subtotal stenosis should be promptly treated by disobliteration.
对19例经血管造影证实为颈总动脉次全狭窄的患者进行了血管造影和/或手术随访研究，结果如下：在16例未立即对狭窄进行手术的病例中，有3例在血管造影显示狭窄后的一周内出现了完全闭塞。虽然未出现壁内伪影，但这可能是血管造影操作的结果（血压暂时下降？）。在7例次全狭窄且诊断已知至少6个月的病例中，有4例未发生闭塞。颈总动脉次全狭窄处的血流可能不像通常认为的那么少，这在3例血管完全闭塞后症状明显加重的病例中有2例得到了说明。结果表明，次全狭窄病例应通过再通术及时治疗。
