지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.17 No.2
- 발행연도
- 2015.1
- 수록면
- 101 - 107 (7page)
이용수
초록· 키워드
오류제보하기
Objective:There are two established surgical treatment options for carotid artery stenosis. Carotid endarterectomy (CEA) has been accepted as a gold standard for surgical treatment while carotid artery stenting (CAS) has recently become an alternative option. Each treatment option has advantages and disadvantages for the treatment outcomes. We propose a protocol for selection of a proper surgical treatment option for carotid artery stenosis. Materials and Methods:A total of 192 published articles on management of carotid artery stenosis were reviewed. Preoperatively considerable factors which had been repeatedly noted in those articles for the risk/benefits of CEA or CAS were selected. According to those factors, a protocol with four categories was established. Results:CEA or CAS is indicated when the patient has a symptomatic stenosis ≥ 50%, or when the patient has an asymptomatic stenosis ≥ 80%. Each treatment option has absolute indications and favorable indications. Each absolute indication is scored with three points, and each favorable indication, one point. Based on the highest scores, a proper treatment option (CEA or CAS) is selected. Conclusion:We have been treating patients according to this protocol and evaluating the outcomes of our protocol-based decision because this protocol might be helpful in assessment of risk/benefit for selection of a proper surgical treatment option in patients with carotid artery stenosis.
목차
등록된 정보가 없습니다.
참고문헌 (50)
참고문헌 신청
Aleksic M / 2006 / Primary stroke unit treatment followed by very early carotid endarterectomy for carotid artery stenosis after acute stroke / Cerebrovasc Dis 22(4):276~281
Blackshear JL / 2011 / Myocardial infarction after carotid stenting and endarterectomy: results from the carotid revascularization endarterectomy versus stenting trial / Circulation 123(22):2571~2578
Bond R / 2003 / Systematic review of the risks of carotid endarterectomy in relation to the clinical indication for and timing of surgery / Stroke 34(9):2290~2301
Brott TG / 2011 / ASA/ACCF/AHA/AANN/AANS/ACR /ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery / Vasc Med 16(1):35~77
Brott TG / 2010 / Stenting versus endarterectomy for treatment of carotid-artery stenosis / N Engl J Med 363(1):11~23
Blackshear JL / 2011 / Myocardial infarction after carotid stenting and endarterectomy: results from the carotid revascularization endarterectomy versus stenting trial / Circulation 123(22):2571~2578
Bond R / 2003 / Systematic review of the risks of carotid endarterectomy in relation to the clinical indication for and timing of surgery / Stroke 34(9):2290~2301
Brott TG / 2011 / ASA/ACCF/AHA/AANN/AANS/ACR /ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery / Vasc Med 16(1):35~77
Brott TG / 2010 / Stenting versus endarterectomy for treatment of carotid-artery stenosis / N Engl J Med 363(1):11~23
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