冠心病合并重度颈动脉狭窄的血运重建

Revascularization strategy of coronary artery heart disease combined with severe carotid artery stenosis

动脉粥样硬化是临床常见的慢性系统性血管病变,可引起冠心病和颈动脉狭窄,二者常共病且互为血运重建手术后并发症的重要危险因素,如何选择血运重建策略尚未达成共识。本文综述冠心病合并颈动脉狭窄的流行病学和血运重建策略,以为共病的有效治疗提供理论依据。

Atherosclerosis is a common chronic systemic vascular disease that can cause coronary artery heart disease(CHD)and carotid artery stenosis.CHD and carotid artery stenosis usually coexist,and they are important risk factors for complications after revascularization.There is still no consensus on how to choose a revascularization strategy when both diseases are present.This article reviews the epidemiology and revascularization strategies of CHD combined with carotid artery stenosis in order to provide a theoretical basis for the effective treatment of comorbidity.