Eisenberg R L, Nemzek W R, Moore W S, Mani R L
Stroke. 1977 Jul-Aug;8(4):483-6. doi: 10.1161/01.str.8.4.483.
Eighty-eight percent of arteries in patients with amaurosis fugax or hemispheric transient ischemic attacks had angiographically demonstrable lesions at the carotid bifurcation. Eighty-one percent had stenoses or occlusions at the carotid bifurcation; 7 percent had ulcerative lesions without stenoses at this site. Forty-nine percent of arteries in these patients demonstrated ulcerative lesions with or without stenosis at the carotid bifurcation. There was no significant difference in the incidence or types of ulcerations between those patients with amaurosis fugax and those with hemispheric transient ischemic attacks. Eighty-eight percent of arteries examined in this series were amenable to surgical reconstruction. Amaurosis fugax and hemispheric transient ischemic attacks were of equal value in predicting the possibility of a surgically treatable lesion at the carotid bifurcation.
在一过性黑矇或半球性短暂性脑缺血发作患者中，88%的动脉在血管造影时显示颈动脉分叉处有病变。81%的患者在颈动脉分叉处有狭窄或闭塞；7%的患者在该部位有无狭窄的溃疡性病变。这些患者中49%的动脉在颈动脉分叉处有伴有或不伴有狭窄的溃疡性病变。一过性黑矇患者和半球性短暂性脑缺血发作患者之间溃疡的发生率或类型没有显著差异。本系列中88%接受检查的动脉适合进行手术重建。一过性黑矇和半球性短暂性脑缺血发作在预测颈动脉分叉处手术可治疗病变的可能性方面具有同等价值。
