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J Korean Neurol Assoc. 2014;32(2):59-71.
- Pre-Procedural Evaluation and Peri-Procedural Management in
Carotid Artery Stenting
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Yeon Soo Ha
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Department of Neurology, Wonkwang University Hospital, Wonkwang University School of Medicine, Iksan, Korea
Department of Neurology
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, Inha University Hospital, Inha University School of Medicine, Incheon, Korea
- 경동맥스텐트삽입술 시술 전 평가와 시술 전후 관리
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하연수, 박희권
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원광대학교 의과대학 원광대학교병원 신경과, 인하대학교 의과대학 인하대학교병원 신경과
a
- Abstract
- Carotid-artery stenting (CAS) is as an alternative to surgical endarterectomy for severe carotid-artery stenosis. CAS is
advantageous over carotid endarterectomy in that it is less invasive and could shorten the hospital stay. A preprocedural
evaluation is necessary to assess the patient’s anatomic status or clinical risk factors to determine whether they are a good
candidate for CAS. Proper evaluation and management can reduce CAS-associated complications such as embolism and
cerebral hyperperfusion syndrome. The frequent use of statins appears to improve the outcome of CAS. Using the
appropriate stent type and a protection device could also reduce the complication rate. Given the changes in cerebral
hemodynamics following CAS, adequately controlling the blood pressure in individual patients can enhance the efficacy
of this treatment. However, there is currently limited data regarding the preprocedural evaluation and periprocedural
management for CAS. The evidence and the clinical status related to the preprocedural evaluation and periprocedural
management of CAS are presented herein. Key Words: Carotid-artery stenosis, Stroke, Carotid-artery stenting, Evaluation, Management
Keywords :
- 초록
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