难以做出关于在患有逆侧动脉封闭症的患者中动脉再血管化的临床决策
Robin Roy Mathews1, László Oláh1, László Csiba1
1University of Debrecen, University of Debrecen Clinical Centre, Health Care Service Units, Clinics, Department of Neurology, Debrecen.
概括
阴道动脉狭窄与逆侧阴道堵塞的最佳治疗方法尚不清楚. 最近的指导方针建议使用支架 (CAS) 而不是切除关节 (CEA),但由于更好的结果,一些研究更倾向于CEA.
科学领域:
- 血管外科 血管外科
- 神经学 神经学
- 预防中风 预防中风
背景情况:
- 通过CEA和CAS进行动脉再血管化是单侧狭窄症的标准二次中风预防方法.
- 尽管中风风险很高,但对带有逆侧 carotid occlusion (CCO) 的动脉狭窄的最佳管理策略不太明确.
研究的目的:
- 审查近期关于在CCO患者中管理动脉狭窄症的研究结果.
- 建议未来的研究方向和临床影响.
主要方法:
- 使用PubMed,ScienceDirect和谷歌学者进行系统的文献审查.
- 对最近的研究进行分析,比较CCO.CO.患者的动脉内关节切除术 (CEA) 和动脉支架 (CAS).
主要成果:
- 目前的指导方针经常建议CCO患者使用CAS而不是CEA.
- 存在相反的证据,一些研究支持基于并发症和结果分析的CEA.
结论:
- 对于CCO的动脉狭窄的治疗决定是多因素的,包括患者的神经状况,并发症,年龄和成像发现.
- 需要进一步的多中心研究来确定最终的最佳管理,因为有矛盾的观察结果.
相关概念视频
Arteries of the Head and Neck
4.3K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
4.3K
Coronary Artery Disease V: Interprofessional Care
444
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
444
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
948
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
948


