无症状颈动脉狭窄的医疗处理

Marek Jauss
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引用次数: 0

摘要

自无症状颈动脉粥样硬化研究(ACAS)试验和无症状颈动脉手术试验(ACST)的结果发表以来,无症状颈动脉狭窄的手术治疗已得到很好的确立。然而,医学治疗的进步和最近的试验表明,在脑供血动脉狭窄的治疗中,“最佳医疗”优于介入治疗,这提出了一个问题,即在无症状颈动脉狭窄的情况下,是否应将“最佳医疗”作为第一选择?
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Medical management of asymptomatic carotid stenosis

Operative treatment of asymptomatic carotid stenosis is well established since results of Asymptomatic Carotid Atherosclerosis Study (ACAS) trial and Asymptomatic Carotid Surgery Trial (ACST) were published. However, advances in medical treatment and recent trials that revealed success of “best medical treatment” over interventional treatment for stenosis of brain supplying arteries have raised the question, if “best medical treatment” should be considered as first option in case of asymptomatic carotid stenosis.

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