Neurological Surgery 脳神経外科40巻7号

2012年07月発行

総説

頚動脈プラークイメージング

著者： 佐々木真理¹

所属機関： ¹岩手医科大学医歯薬総合研究所超高磁場MRI診断・病態研究部門

ページ範囲：P.579 - P.584

Ⅰ．はじめに

　頚部頚動脈狭窄病変は脳卒中の重要な危険因子であり，しばしば頚動脈内膜剝離術（carotid endarterectomy：CEA）や頚動脈ステント術（carotid artery stenting：CAS）の対象となる．CEAの治療適応や治療成績はほぼ確立されているが，CASはCEAの高リスク群における非劣性が証明されているものの¹⁵⁾，CEA適応群における脳卒中イベントが多いことが問題視されている²⁾．本稿では，CEA・CASの塞栓性合併症の予測に有望視されている頚動脈プラークイメージングの現状について概説する．

参考文献

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