@article{oai:sapmed.repo.nii.ac.jp:00008111,
 author = {片岡, 丈人 and 瓢子, 敏夫 and 早瀬, 一幸 and 上山, 憲司 and 中川原, 譲二 and 中村, 博彦},
 issue = {1},
 journal = {北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation},
 month = {Mar},
 note = {Objective: With our institution, we performed carotid angioplasty with stent (CAS) in limitation to the case in which difficulty or high risk group of carotid endarterectomy (CEA). The indication and results by our institution to CAS and CEA are reported. Methods: From September, 1997 to June, 2003, CAS were performed to 28 lesions of 27 cases in Nakamura Memorial hospital. CEA has been performed to 107 lesions of 101 cases at the period. The reason each treatment was chosen, and results were examined retrospectively. Results: The reason CAS was chosen was as the following. Five cases were high position. Four cases were re-stenosis after CEA. Two cases were post-irradiation. Three cases were neurologically unstable. Five cases were contralateral internal carotid artery occlusion. Four cases were contralateral internal carotid artery severe stenosis. Three cases were with another intracranial artery occlusion. The movable region of the neck had restriction according to the cervical disease at two cases. However, about the contralateral occlusion, six cases were treated by CEA at the period, and, as for two cases of a contralateral severe stenosis, CEA was performed for both sides. Treatment results were one minor stroke and one TIA were found in the 28 CAS lesions, one minor stroke and one death were found in the 107 CEA lesions. Conclusions: The contralateral internal carotid artery occlusion or severe stenosis were relative indication of CAS. Therefore, the result of a cerebra blood flow and the result of a blood vessel echo were considered, and the treatment plan was chosen. On the other hand, CAS was chosen as all cases, neurologically unstable, re-stenosis after CEA, and post-irradiation. Good results were acquired by compensating the high risk cases of the both CEA and CAS mutually.},
 pages = {5--8},
 title = {頚動脈狭窄症に対するSTENT治療の適応},
 volume = {14},
 year = {2004}
}