既往颈部手术患者的双侧颈动脉狭窄:动脉内膜切除术的困难

A. Elavarasi, S. Narayan, Sai Chandran, D. Rath
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引用次数: 0

摘要

颈动脉狭窄是反复发作的短暂性脑缺血发作和脑卒中的重要原因。颈动脉支架置入术和动脉内膜切除术被认为对治疗此病同样有效。我们报告了一个复发性TIA和双侧颈动脉狭窄的患者,他接受了前颈椎间盘切除术和融合,发现有纤维带包裹右颈动脉。他接受了左侧动脉内膜切除术和右侧颈动脉支架置入术。随着颈动脉内膜切除术等手术的广泛应用,更多可能接受过颈椎前路手术的老年人将接受这种手术。先前的颈部手术和粘连可能导致解剖结构改变、失血增加的风险和手术并发症。在这种情况下,颈动脉支架植入术可以替代动脉内膜切除术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bilateral Carotid Stenosis in a Patient with Previous Neck Surgery: Difficulties in Endarterectomy
Carotid stenosis is an important cause of recurrent transient ischemic attacks and stroke. Carotid stenting and endarterectomy are considered equally effective in treating this condition. We report a patient with recurrent TIA and bilateral carotid stenosis who had undergone anterior cervical diskectomy and fusion and who was found to have fibrous bands encasing the right carotid artery. He was treated with endarterectomy on the left side and carotid stenting on the right side. With the widespread availability of procedures like carotid endarterectomy, more older people would undergo this surgery, who might have undergone anterior cervical surgery. Prior neck surgery and adhesions may lead to altered anatomy, risk of increased blood loss, and surgical complications. In such cases, carotid stenting could be an alternative to endarterectomy.
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