缺血性脑血管疾病-台中荣总.pptVIP

崔源生 醫師 台中榮民總醫院神經外科 低侵入性治療概念Concepts of Minimal Invasive Surgery Outline: Carotid artery stenosis Endarectomy Carotid stenting Intracranial artery stenosis EC-IC bypass surgery Intracranial artery stenting Acute thrombosis IA thrombolysis 顱外缺血性腦梗塞-頸動脈狹窄 頸動脈狹窄-目前治療方式: Current Treatments 內科療法: 抗血小板藥物（Antiplatelet agents) 外科療法: 頸動脈內膜剝離術Carotid endarterectomy (CEA) 介入療法: 頸動脈支架術 PTA/Stenting 　　　　 w/distal embolic protection 頸動脈內膜剝離術（Carotid Endarterectomy） 頸動脈內膜剝離術-併發症 傷口血腫 傷口感染 迷走神經損傷 缺血性/出血性中風 心血管病變 Devices for Carotid Stenting Pre-CAS: Angiography Post-CAS: Angio