颈动脉狭窄的诊断

1、Albers GW, Chair; J. CHEST 1998; 114:683S698S Paul HL Kaol动脉粥样硬化动脉粥样硬化l纤维肌发育不良纤维肌发育不良(fibromuscular dysplasia)(fibromuscular dysplasia)l高安氏病高安氏病（Takayasus ArteritisTakayasus Arteritis）l血管炎（血管炎（vasculitis）(包括放疗后包括放疗后)l与神经纤维瘤病相关的狭窄与神经纤维瘤病相关的狭窄B-modePower angioColor mappingDopplerTCDFigure 3. Annual ri

2、sk of stroke or vascular death among patients in various high risk subgroups. Wilterdink JL, Easton JD. Arch Neurol 1992; 49:857 863. CarotidCarotidendartereendarterectomyctomy(CEA)(CEA) is a surgical procedure removing plaque material from the lining of an arteryThe procedure to remove plaque build

3、-up from an artery. A surgeon scrapes away the arterial lining, where plaque has formed, and the artery is stitched closed.NASCET. N Engl J Med 1991;325:445-453 ECST. Lancet 1991;337:1235-1243lHigh or bifurcation lesions High or bifurcation lesions 高位或分叉部病变高位或分叉部病变lLow or ostial CCA lesions Low or o

4、stial CCA lesions 低位或靠近低位或靠近CCACCA开口处开口处lNeck radiation Neck radiation 颈部放射治疗颈部放射治疗lPrior radical neck dissection Prior radical neck dissection 既往颈部切开术既往颈部切开术lPrior carotid endarterectomy Prior carotid endarterectomy 既往既往CEACEAlShort, obese necks Short, obese necks 颈部粗短颈部粗短lSpinal immobility due to congenital /acquired Spinal immobility due to congenital /acquired conditions conditions 先天或后天性颈椎不稳定先天或后天性颈椎不稳定lAdditional stenoses involving the ipsilateral Addition