Optimal Treatment for Carotid Artery Stenosis : Current Status and Future Perspective
Open Access
- 1 January 2019
- journal article
- Published by The Japanese Congress of Neurological Surgeons in Japanese Journal of Neurosurgery
- Vol. 28 (12), 777-782
- https://doi.org/10.7887/jcns.28.777
Abstract
頚動脈ステント留置術 (CAS) は, CEA高危険群のみならず標準危険群に対してもCEAと同等の治療効果が得られることが示されているが, それぞれの治療における合併症内訳が異なり, 特にCASにおける周術期脳卒中の発生, 高齢者に対する成績不良が今後克服すべき問題点として挙げられる. 近年の治療の発展に従いCEA, CAS, 内科治療とも成績が向上してきているが, 周術期塞栓性合併症を克服するデバイスの洗練化, 新規開発が進むCASの治療成績に注目していく必要がある. 一方, 無症候性病変, 高齢者への治療介入は慎重に検討しなければならず, 各治療を比較した新たなエビデンスの創出が必要な時期に差し掛かっている.Keywords
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