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首页> 外文期刊>Vascular and endovascular surgery >Hybrid Treatment of Extracranial Carotid Artery Disease
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Hybrid Treatment of Extracranial Carotid Artery Disease

机译：颅外颈动脉疾病的杂种治疗

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Objective: High-degree stenosis of both innominate (IA) or left common carotid artery (CCA) and carotid bifurcation is uncommon but still represents a significant challenge to interventionists in many aspects including techniques, timing, and priority. There are several strategies for intervention that have been reported in the literature. A well-described, less-invasive strategy for extracranial tandem carotid lesions is concomitant carotid endarterectomy (CEA) with retrograde carotid angioplasty and stenting (CAS). In this study, we examine intermediate-term outcomes of this hybrid procedure and review other described treatments. Methods: Electronic medical records of all patients who underwent hybrid (ostial CAS and CEA) procedures in a tertiary center over the last 10 years were reviewed. High-degree stenosis of the IA or CCA was defined according to North American Symptomatic Carotid Endarterectomy Trial criteria. Results: A total of 6 patients were identified. The population included 4 males and 2 females with a median age of 65 years. Five patients were symptomatic and all had stenosis >75% by angiography. Five of the patients underwent left CEA with proximal stenting and one patient underwent right-sided CEA with proximal stenting. Combined 30-day mortality and stroke rate was 0%. No restenosis, stroke, heart attack, or death occurred during a follow-up range of 1 to 36 months (mean 12.8 months, median 7.8 months). Conclusion: The combined CEA with retrograde stenting for tandem extracranial lesion procedure is safe and feasible, with adequate intermediate-term outcomes consistent with the recent literature.
机译：目的：无名（IA）或左侧颈动脉（CCA）和颈动脉分叉的高度狭窄是罕见的，但仍然对干预者在包括技术，时序和优先级的许多方面来说仍然是一个重要的挑战。在文献中有几种干预策略。对颅脑串联颈动脉病变的良好描述的较少侵入性策略是伴随颈动脉胚胎切除术（CEA），逆行颈动脉血管成形术和支架（CAS）。在这项研究中，我们研究了这种混合动力程序的中期结果，并审查了其他描述的治疗方法。方法：在过去10年中，在过去10年中接受过高级中心的杂种（奥斯蒂科CAS和CEA）程序的所有患者的电子医疗记录。根据北美症状颈动脉管切除术审判标准，定义了IA或CCA的高度狭窄。结果：鉴定了共有6名患者。人口包括4名男性和2名女性，中位年龄为65岁。五名患者症状，所有血管造影都具有狭窄> 75％。其中五名患者接受了左侧支架的左侧CEA，一名患者接受右侧支架的右侧CEA。合并30天的死亡率和卒中率为0％。在1至36个月的后续范围内（平均12.8个月，中位数为7.8个月），不会发生再狭窄，中风，心脏病发作或死亡。结论：具有逆行支架的CEA用于串联颅外病变程序是安全可行的，具有足够的中期结果与最近的文献一致。

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