JNIS中文版｜朱武生教授导读：无症状颈动脉狭窄——对血运重建和新出现高危特征证据的现状综述_治疗_患者_试验
网页2023年1月25日 · acst-1试验的10年随访显示，在第一和第二个5年期之间，bmt组卒中风险下降，而因cea需后续治疗的人数从19人增加到22人。因此，关于现代bmt与cea如何比较的争议开始了，正在进行的试验如无症状颈动脉狭窄的血运重建和药物治疗研究（crest-2）重新审 …
无症状颈动脉粥样硬化性狭窄诊治进展 - 中华医学杂志
网页ACAS试验结论与VAACSS相似 [39,40] ，即在无症状颈动脉狭窄≥60%患者中，CEA较单独药物治疗能显著降低缺血性卒中的5年发生率。ACST试验(asymptomatic carotid surgery trial) 进一步证实了上述结论。
ISC论剑：颈动脉狭窄，激进治疗还是保守观察？_澎湃号·湃客_澎 …
网页2021年3月30日 · 无症状颈动脉狭窄外科试验（Asymptomatic Carotid Surgery Trial，ACST）显示狭窄程度＞70%患者，给予药物治疗，卒中发生风险明显下降。虽然该试验也证明了颈动脉内膜切除术（carotid endarteretomy，CEA）在治疗颈动脉狭窄中的意义，但是与药物治疗相比，没有明显组间差异。
中国卒中学会关于无症状性颈动脉狭窄筛查的科学声明 - 中华医学 …
网页无症状性颈动脉狭窄（asymptomatic carotid artery stenosis，aCAS），尤其是中重度的aCAS是卒中发生的重要危险因素。 早期的证据显示内外科治疗可能降低aCAS相关性卒中风险，因此有关是否应在人群中开展颈动脉筛查的话题持续受到关注。
Second asymptomatic carotid surgery trial (ACST-2): a …
网页In North America, some 100 000 surgery or stenting procedures are done each year to treat carotid artery narrowing, 1 and numbers are similar for Europe. 2,3 About half are to prevent recurrent stroke in symptomatic patients and half are for primary stroke prevention in asymptomatic patients (ie, those whose stenosis has not caused any recent ...
Second asymptomatic carotid surgery trial (ACST-2): a …
网页2021年9月18日 · Methods: ACST-2 is an international multicentre randomised trial of CAS versus CEA among asymptomatic patients with severe stenosis thought to require intervention, interpreted with all other relevant trials. Patients were eligible if they had severe unilateral or bilateral carotid artery stenosis and both doctor and patient agreed that a ...
第二次无症状颈动脉手术试验 (ACST-2)：颈动脉支架置入术与颈动脉 …
网页方法 acst-2 是一项国际多中心随机试验，在被认为需要干预的严重狭窄无症状患者中进行 cas 与 cea 对比，并与所有其他相关试验一起解释。 如果患者有严重的单侧或双侧颈动脉狭窄，并且医生和患者都同意应该进行颈动脉手术，则他们符合条件，但他们基本上不 ...
Asymptomatic Carotid Surgery Trial - ACST-2 - American …
网页2021年8月29日 · The primary outcomes: Procedural death or disabling stroke at 30 days: 1.0% in the carotid stent group compared with 0.9% in the carotid endarterectomy group. Procedural death or disabling stroke at 5 years: 3.4% in the carotid stent group compared with 3.5% in the carotid endarterectomy group (p = 0.86)
The Asymptomatic Carotid Surgery Trial-2 (ACST-2): an ongoing ... - PubMed
网页Objectives: The second Asymptomatic Carotid Surgery Trial (ACST-2) compares carotid endarterectomy (CEA) with carotid artery stenting (CAS) directly, randomising patients with asymptomatic carotid stenosis for whom a carotid procedure is considered definitely necessary; both procedures seem anatomically feasible, and there is substantial ...
Asymptomatic Carotid Surgery Trial 2 (ACST-2)
网页10-year stroke prevention after successful carotid endarterectomy for asymptomatic stenosis (ACST-1): a multicentre randomised trial. Journal article. Halliday A. et al, (2010), Lancet, 376, 1074 - 1084 Combined medical therapy and carotid endarterectomy for asymptomatic stenosis: 10-year stroke prevention in ACST-1. Conference paper
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