Zarins C K
Department of Surgery, Stanford University, School of Medicine, California, USA.
J Endovasc Surg. 1996 Feb;3(1):10-5. doi: 10.1177/152660289600300106.
Carotid endarterectomy has been firmly established as the gold standard of therapy for symptomatic and asymptomatic patients with severe carotid stenosis, provided surgical complication rates are within prescribed limits. The procedure-related risk of stroke/death should be < 3% in asymptomatic patients and < 6% in symptomatic patients. New investigational therapies such as balloon angioplasty and stenting for carotid stenosis should be evaluated against the same standard.
对于有症状和无症状的重度颈动脉狭窄患者，只要手术并发症发生率在规定范围内，颈动脉内膜切除术已被牢固确立为治疗的金标准。无症状患者与手术相关的中风/死亡风险应<3%，有症状患者应<6%。新的研究性治疗方法，如用于颈动脉狭窄的球囊血管成形术和支架置入术，应根据相同标准进行评估。
