頸動脈狹窄的診斷、支架治療的病例選擇、圍手術(shù)用藥(1)-文庫吧
2024-12-22 10:04 本頁面
【正文】 n agents 他丁類藥物 ?Carotid endarterectomy 頸動脈內(nèi)膜剝離術(shù) ?Angioplasty and stenting ?Under investigation正在確立的新療法 ?Extracranial to Intracranial bypass ?Atherectomy 動脈狹窄旋切術(shù) ?Laser Assisted Angioplasty 激光輔助的血管成型術(shù) ?Thrombolysis – Angiojet 血管射頻消融術(shù) Carotid endarterectomy (CEA) is a surgical procedure removing plaque material from the lining of an artery The procedure to remove plaque buildup from an artery. A surgeon scrapes away the arterial lining, where plaque has formed, and the artery is stitched closed. Endarterectomy: researches 研究結(jié)果 ?North American Symptomatic Carotid Endarterectomy Trial (NASCET) ?European Carotid Stenosis Trial (ECST) Results: Dramatic risk reduction with surgery for severe stenosis 結(jié)果 :CEA明顯降低頸動脈嚴(yán)重狹窄患者的中風(fēng)危險性 NASCET. N Engl J Med 1991。325:445453 ECST. Lancet 1991。337:12351243 ?Contralateral occlusion 對側(cè) CCA閉塞 ?High or bifurcation lesions 高位或分叉部病變 ?Low or ostial CCA lesions 低位或靠近 CCA開口處 ?Neck radiation 頸部放射治療 ?Prior radical neck dissection 既往頸部切開術(shù) ?Prior carotid endarterectomy 既往 CEA ?Short, obese necks 頸部粗短 ?Spinal immobility due to congenital /acquired conditions 先天或后天性頸椎不穩(wěn)定 ?Additional stenoses involving the ipsilateral siphon伴隨有同側(cè)虹吸段狹窄 High anatomical risk for CEA Complications of ECA ?
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