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首页> 外文期刊>Journal of neurological sciences (Turkish) >Management Of Carotid Artery Stenosis: Experiences in Dokuz Eylül University Hospital
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Management Of Carotid Artery Stenosis: Experiences in Dokuz Eylül University Hospital

机译：颈动脉狭窄的处理：DokuzEylül大学医院的经验

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Vascular brain diseases are known to be the second cause of death worldwide, and the third cause of death in the developed countries. Approximately 20 % of the cases with stroke are due to carotid artery atherosclerosis. The treatment of patients with carotid atherosclerosis consists of an effective medical treatment together with neuroradiologic interventions (stending) or surgery (endarterectomy). In our university hospital from 2003 till now, symptomatic or asymptomatic patients with carotid artery atherosclerosis have been assessed by a multidisciplinary committee in which the instructors from the departments of neurology, cardiovascular surgery and interventional radiology take part and the treatment or preventive procedures for these patients have been assigned accordingly. Between June 2003 and September 2007, 139 patients referred mostly from the neurology department have been assessed by this committee in our hospital. In this article, the experiences from the demographic features, treatment decisions and outcomes of these patients are discussed. Of the 139 patients assessed by the committee, 37 patients have been decided to be followed only by a medical treatment, 97 patients have been decided to have an interventional treatment, and 5 patients have undergone endarterectomy. Among 97 patients decided to have an interventional treatment, 3 had an intracranial stending. In the remaining 94 patients who had an extracranial stending, 8 had subclavian and 86 had carotid artery stending. After carotid stent procedure, in 2 cases a major and in 8 cases a minor neurological complication have developed. Finally, carotid stending is a procedure with acceptable complication ratio and an alternative treatment to endarterectomy in experienced centers. Each center should have a treatment suggestion depending on its facilities and experiences, making a common decision together with patients by suggesting each alternative. Ideally this decision should be made by a committee in which a neurologist, an interventional radiologist and a cardiovascular surgeon take part, as in our center. More importantly, symptomatic patients require either interventional treatment or endarterectomy apart from medical treatment alone. The patients should be protected from a second stroke by an optimal medical treatment in addition to these procedures.How to cite this article:V. OZTURK, S. MEN, U. BURCU, G. Y?G?T, Y. ERDEM, K. DERYA, K. KURSAD: Management Of Carotid Artery Stenosis: Experiences in Dokuz Eylül University Hospital. J Neurol Sci [Turk] 2008;25:025-031How to cite this URL & PDF:V. OZTURK, S. MEN, U. BURCU, G. Y?G?T, Y. ERDEM, K. DERYA, K. KURSAD: Management Of Carotid Artery Stenosis: Experiences in Dokuz Eylül University Hospital. J Neurol Sci [Turk] 2008 [cited 2008 December 18];25:025-031. Available from: http://jns.dergisi.org/text.php3?id=205 PDF: http://jns.dergisi.org/pdf/pdf_JNS_205.pdfE-mail of the corresponding author: vesile.ozturk@deu.edu.tr
机译：众所周知，脑血管疾病是全世界的第二大死因，而在发达国家是第三大死因。约20％的中风病例归因于颈动脉粥样硬化。颈动脉粥样硬化患者的治疗包括有效的药物治疗以及神经放射学干预（趋势）或手术（动脉内膜切除术）。从2003年至今，在我们的大学医院中，由多学科委员会对有症状或无症状的颈动脉粥样硬化患者进行了评估，该委员会由神经病学，心血管外科和介入放射学部门的讲师参与，并对这些患者进行治疗或预防已相应分配。在2003年6月至2007年9月之间，该委员会在我院对139名主要从神经内科转诊的患者进行了评估。在本文中，将讨论这些患者的人口统计学特征，治疗决策和预后。在委员会评估的139例患者中，37例被决定只接受药物治疗，97例被决定进行介入治疗，5例接受了动脉内膜切除术。在决定接受介入治疗的97例患者中，有3例颅内狭窄。在其余的94例颅外动脉狭窄患者中，有8例锁骨下动脉狭窄，有86例颈动脉血管狭窄。颈动脉支架手术后，有2例发生了严重的神经并发症，而8例发生了轻微的神经并发症。最后，在经验丰富的中心，颈动脉狭窄是一种具有可接受的并发症发生率和动脉内膜切除术替代治疗的程序。每个中心都应根据其设施和经验提出治疗建议，并通过建议每个替代方案与患者共同做出决定。理想情况下，应该由一个由神经科医生，介入放射科医生和心血管外科医师参加的委员会来做出此决定，就像在我们中心一样。更重要的是，有症状的患者除了药物治疗外，还需要介入治疗或动脉内膜切除术。除这些程序外，还应通过最佳药物治疗保护患者免受第二次中风的侵害。 OZTURK，S。MEN，U。BURCU，G。Y？G？T，Y。ERDEM，K。DERYA，K。KURSAD：颈动脉狭窄的治疗：DokuzEylül大学医院的经验。 J Neurol Sci [Turk] 2008; 25：025-031如何引用此URL和PDF：V。 OZTURK，S。MEN，U。BURCU，G。Y？G？T，Y。ERDEM，K。DERYA，K。KURSAD：颈动脉狭窄的治疗：DokuzEylül大学医院的经验。神经科学杂志（Turk）2008年（引自2008年12月18日）; 25：025-031。可从以下网址获得：http://jns.dergisi.org/text.php3?id=205 PDF：http://jns.dergisi.org/pdf/pdf_JNS_205.pdf相应作者的电子邮件：vesile.ozturk@deu。教育

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