Raithel D
Department of Vascular Surgery, Nuremberg Hospital, Germany.
J Endovasc Surg. 1996 Feb;3(1):69-75. doi: 10.1583/1074-6218(1996)003<0069:RCDOTF>2.0.CO;2.
Carotid restenosis has been a well-recognized, though not well-understood, long-term complication of carotid endarterectomy. Various factors contribute to recurrent stenosis, but the chief cause is technical faults during the primary procedure. Redo endarterectomy or graft reconstruction are the traditional and most effective procedures for treating symptomatic or high-grade (> 80%) asymptomatic restenotic lesions. To reduce the potential for carotid restenosis, eversion endarterectomy is recommended as the technique of choice for de novo carotid disease treatment. Angioscopy is useful in detecting correctable technical errors that could predispose to restenosis.
颈动脉再狭窄一直是颈动脉内膜切除术一种公认的、但尚未被充分理解的长期并发症。多种因素导致复发性狭窄，但主要原因是初次手术期间的技术失误。再次内膜切除术或移植重建术是治疗有症状或高度（> 80%）无症状再狭窄病变的传统且最有效的手术方法。为降低颈动脉再狭窄的可能性，推荐采用外翻内膜切除术作为治疗初发性颈动脉疾病的首选技术。血管镜检查有助于检测可能导致再狭窄的可纠正技术错误。
