- 期刊
Cerebral Protection for Carotid Artery Stenting: Safety, Efficacy and Limitations
並列摘要
Although carotid endarterectomy (CEA) has been proven more effective than medical management in the prevention of stroke in patients with symptomatic or asymptomatic carotid artery stenosis, it has its disadvantages, including a neck incision and the requirement for general anesthesia in some patients. Additionally, surgical intervention also has limitations for those patients with severe bilateral carotid artery stensosis, the stenosis caused by neck irradiation for nasopharyngeal cancer, high level of carotid artery stensosis, or restenosis following CEA. Carotid artery stenting, which is a less invasive percutaneous procedure, has been widely accepted as an alternative for patients with severe carotid artery stensosis. Furthermore, a number of randomized clinical trails have demonstrated that carotid stenting with emboli-protection device for treatment of patients with symptomatic and asymptomatic stenosis is not inferior to CEA in terms of short-term and long-term outcomes. Therefore, it is foreseeable that percutaneous transluminal stenting with emboli-protection device for patients with high-grade carotid artery stensosis will gain increasing popularity in the near future. Accordingly, it is of utmost importance to understand the benefits, safety, and the limitations of carotid stenting.
延伸閱讀
- Kouvelos, G. N., Nassis, C., Papa, N., Papadopoulos, G., & I.Matsagkas, M. (2012). Limb-Shaking Transient Ischemic Attacks Successfully Treated with External Carotid Artery Stenting. Case Reports in Medicine, 2012(), 306-308-181. https://doi.org/10.1155/2012/532329
- Yen, C. C., Lee, K. W., Hsueh, C., Lin, C. M., Chen, W. L., Chen, Y. Y., Li, Y. H., & Liu, C. K. (2014). The Correlation between Calcium Volume and Carotid Artery Stenosis in Patients with Neurologic Symptoms. Journal of Radiological Science, 39(2), 35-42. https://doi.org/10.6698/JRS.201406_3902.02
- Huang, W. C., Chou, L. W., Lo, S. F., Meng, N. H., & Kao, M. J. (2009). Traumatic Internal Carotid Artery Dissection Complicated with Ischemic Cerebral Infarction. 北市醫學雜誌, 6(1), 65-70. https://doi.org/10.6200/TCMJ.2009.6.1.07
- Yang, H. J., Ho, M. Y., Huang, K. L., Chen, W. H., Hsu, C. F., Chang, Y. J., Lee, T. H., & Ryu, S. J. (2012). A Preliminary Study of the Cognitive Sequelae and Lateralized Effects of Carotid Artery Stenosis. 臨床心理學刊, 6(1), 31-31. https://www.airitilibrary.com/Article/Detail?DocID=18136419-201206-201406040001-201406040001-31-31
- Whang, P. E., Huang, C. C., & Huang, W. M. (2021). Intraprocedural Cerebral Hyperperfusion Syndrome after Carotid Angioplasty and Stenting. Journal of Radiological Science, 46(), 57-60. https://doi.org/10.6698/JRS.202103_46.0012