短暂性脑缺血发作伴颈动脉狭窄1例并探讨颈动脉内膜切除术的必要性

IF 0.6 Q3 Medicine

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2023-10-15 DOI:10.18231/j.ijashnb.2023.020

Premkumar Daivasikamani, Aung San Phyo

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引用次数: 0

摘要

颈动脉内膜切除术是治疗颈动脉粥样硬化的常用血管手术。通常，当动脉狭窄超过80%时进行手术，但如果出现症状，即使狭窄50%也可以进行手术。颈动脉内膜切除术(CEA)在急性中风后延迟6至8周，因为中风可能是进行性的。颈动脉内膜切除术(CEA)是在患者中风最佳恢复后进行的。恢复取决于术前梗塞的大小和神经功能缺损。当急性颈动脉阻塞引起波动性神经功能缺损时，可以进行紧急动脉内膜切除术。当患者因其他严重疾病导致一般情况较差，缩短预期寿命时，禁用CEA。在严重中风的情况下不这样做，因为恢复可能不令人满意。

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A case report of transient ischemic attack with carotid artery stenosis and discussion on the need for carotid endarterectomy

Carotid endarterectomy is common vascular procedure for atherosclerosis of carotid artery. Usually, it is done when the artery is narrowed more than 80% but it can be done even when it is narrowed 50 % if it produces symptoms. Carotid endarterectomy (CEA) is delayed 6 to 8 weeks after acute stoke, as the stroke can be progressive. Carotid endarterectomy (CEA) is done after optimal recovery from the stroke by the patient. The recovery depends on the preoperative size of the infarct and the neurological deficit. Emergency endarterectomy can be done when there is fluctuating neurological deficits due to acute carotid artery obstruction. CEA is contraindicated when the patient’s general condition is poor due to other serious illness which shorten life expectancy. It is not done in a case of major stroke as the recovery may not satisfactory.

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.90

自引率

0.00%

发文量

226

审稿时长

3 months

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.