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2009년 한국 뇌졸중 진료지침에서 뇌졸중 이차예방 중 두개강외 경동맥협착의 수술 또는 중재적 치료에 관한 내용의 부분 개정

Focused Update of 2009 Korean Clinical Practice Guidelines for the Surgical or Interventional treatment of Extracranial Carotid Artery Stenosis in Secondary Prevention of Stroke

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참고문헌

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주제분류신경과학

초록

Since the publication of the fi rst edition of Korean clinical practice guidelines of secondary stroke prevention, encouraging data from recent large clinical trials and meta-analysis have led us to consider many therapeutic options in the treatment of symptomatic extracranial carotid stenosis. Accordingly, the writing group of Clinical Research Center for Stroke decided to provide recent views on the therapeutic revascularization of extracranial carotid stenosis, and timely evidence-based recommendations. In this updated version, new evidences about carotid angioplasty/stenting, treatment timing, and perioperative preparation are given, and qualifying conditions for operator are elucidated. This refi nement was based on current consensus between Korean Society of Intravascular Neurosurgery, Korean Society of Interventional Neuroradiology, and Korean Society of Cerebrovascular Surgery and approved by Korean Stroke Society, Korean Neurological Association, and Korean Society of Geriatric Neurology. These recommendations are subject to future correction based on new evidences from ongoing and future studies. (Korean J Stroke 2011;13:99-106)

Abstract

Since the publication of the fi rst edition of Korean clinical practice guidelines of secondary stroke prevention, encouraging data from recent large clinical trials and meta-analysis have led us to consider many therapeutic options in the treatment of symptomatic extracranial carotid stenosis. Accordingly, the writing group of Clinical Research Center for Stroke decided to provide recent views on the therapeutic revascularization of extracranial carotid stenosis, and timely evidence-based recommendations. In this updated version, new evidences about carotid angioplasty/stenting, treatment timing, and perioperative preparation are given, and qualifying conditions for operator are elucidated. This refi nement was based on current consensus between Korean Society of Intravascular Neurosurgery, Korean Society of Interventional Neuroradiology, and Korean Society of Cerebrovascular Surgery and approved by Korean Stroke Society, Korean Neurological Association, and Korean Society of Geriatric Neurology. These recommendations are subject to future correction based on new evidences from ongoing and future studies. (Korean J Stroke 2011;13:99-106)

참고문헌 (19)

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  2. The SPACE Collaborative Group, "30 day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients: a randomised non-inferiority trial", Lancet, 368, pp.1239~1247 (2006)
  3. Eckstein HH, "Results of the Stent- Protected Angioplasty versus Carotid Endarterectomy (SPACE) study to treat symptomatic stenoses at 2 years: a multinational, prospective, randomized trial", Lancet Neurol, 7, pp.893~902 (2008)
  4. Mas JL, "Carotid angioplasty and stenting with and without cerebral protection: clinical alert from the Endarterectomy Versus Angioplasty in Patients With Symptomatic Severe Carotid Stenosis (EVA-3S) trial", Stroke, 35, pp.e18~20 (2004)
  5. Mas JL, "Endarterectomy Versus Angioplasty in Patients with Symptomatic Severe Carotid Stenosis (EVA-3S) trial: results up to 4 years from a randomised, multicentre trial", Lancet Neurol, 7, pp.885~892 (2008)
  6. Ederle J, "Carotid artery stenting compared with endarterectomy in patients with symptomatic carotid stenosis (International Carotid Stenting Study): an interim analysis of a randomised controlled trial", Lancet, 375, pp.985~997 (2010)
  7. Carotid Stenting Trialists’ Collaboration, "Short-term outcome after stenting versus endarterectomy for symptomatic carotid stenosis: a preplanned meta-analysis of individual patient data", Lancet, 376, pp.1062~1073 (2010)
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  9. CAVATAS Investigators, "Endovascular versus surgical treatment in patients with carotid stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS)", Lancet, 357, pp.1729~1237 (2001)
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  12. Ederle J, "Endovascular treatment with angioplasty or stenting versus endarterectomy in patients with carotid artery stenosis in the Carotid And Vertebral Artery Transluminal Angioplasty Study (CAVATAS): long-term follow-up of a randomised trial", Lancet Neurol, 8, pp.898~907 (2009)
  13. Zarins CK, "Carotid revascularization using endarterectomy or stenting systems (CaRESS): 4-year outcomes", J Endovasc Ther, 16, pp.397~409 (2009)
  14. Brott TG, "Stenting versus endarterectomy for treatment of carotid-artery stenosis", N Engl J Med, 363, pp.11~23 (2010)
  15. "Endarterectomy for symptomatic carotid stenosis in relation to clinical subgroups and timing of surgery", Lancet, 363, pp.915~924 (2004)
  16. Rerkasem K, "Systematic review of the operative risks of carotid endarterectomy for recently symptomatic stenosis in relation to the timing of surgery", Stroke, 40, pp.e564~572 (2009)
  17. Furie KL, "Guidelines for the Prevention of Stroke in Patients with Stroke or Transient Ischemic Attack. A Guideline for Healthcare Professionals From the American Heart Association", American Stroke Association, 2011, pp.42, 227~276
  18. Brott TG, "ASA", ACCF, AANN, pp.AANS, ACR[DOI]
  19. European Stroke Organisation (ESO) executive committee, "Guidelines for management of ischaemic stroke and transient ischaemic attack 2008", Cerebrovasc Dis, 25, pp.457~507 (2008)

관련 논문AI추천

무증상경동맥협착의 치료: 2012년 한국뇌졸중일차예방 진료지침 부분개정전평, 강규식, 강현승, 구자성, 권순억, 김성림, 김한영, 나정호, 박종무, 배희준, 오창완, 유경호, 윤병우, 이병철, 조용진, 한상원, 허지회, 홍근식대한신경과학회 · 대한신경과학회지2012 · 제30권 제2호두개외 경동맥 질환: 2011년 지침서 해석정슬기대한뇌졸중학회 · 대한뇌졸중영문학회지2011 · 제13권 제1호2013년 한국뇌졸중진료지침 개정과 근거에 대한 고찰구자성, 김한영, 나정호, 박인성, 박종무, 박태환, 서대희, 유경호, 윤병우, 이병철, 정근화, 조경희, 홍근식대한신경과학회 · 대한신경과학회지2013 · 제31권 제3호경동맥스텐트삽입술 시술 전 평가와 시술 전후 관리박희권, 하연수대한신경과학회 · 대한신경과학회지2014 · 제32권 제2호2009년 한국 뇌졸중 진료지침에서 이차예방을 위한 항혈소판제의 사용에 관한 내용의 부분 개정권순억, 권형민, 나정호, 배희준, 오창완, 유경호, 윤병우, 이병철, 허지회, 홍근식대한신경과학회 · 대한신경과학회지2010 · 제28권 제2호2009년 한국 뇌졸중 진료지침에서 이차예방을 위한 항혈소판제 사용에 관한 내용의 부분 개정권순억, 권형민, 나정호, 배희준, 오창완, 유경호, 윤병우, 이병철, 허지회, 홍근식, 뇌졸중 임상연구센터 진료지침 집필위원회대한뇌졸중학회 · 대한뇌졸중영문학회지2010 · 제12권 제1호

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