頸動脈ステント留置術の基本

概要

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Stenosis of extracranial carotid arteries is one of the leading causes of ischemic stroke. There are three options for the treatment of carotid artery stenosis: best medical treatment (BMT), carotid endarterectomy (CEA) and carotid artery stenting (CAS). Recently, CAS has been developed as an alternative to CEA with a number of clinical trials performed to compare CEA with CAS. A number of criteria, such as degree of stenosis, plaque characteristics, symptoms, age, anatomical conditions and combined diseases must be taken into account in considering the strategy of CAS for the individual patient. In Japan, precise preoperative assessment of the CAS risks such as vulnerability of plaque, cerebral hyperperfusion, and cardiovascular adverse events has reduced perioperative morbi-mortality. This article gives a brief overview and comment on the current treatment strategies of extracranial carotid artery stenosis based on the recent literature and our experiences.
一般社団法人日本インターベンショナルラジオロジー学会の論文