
19.04.2010, 20:12
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Рентгенохирург
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Регистрация: 20.02.2007
Город: Москва
Сообщений: 2,195
Поблагодарили 213 раз(а) за 207 сообщений
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Я ведь не зря задаю вопросы об оптимальном способе лечения каротидных стенозов. Вот, к примеру:
Цитата:
By L.A. McKeown
Tuesday, March 30, 2010
An observational comparison of contemporary endarterectomy vs. best medical management suggests that the 2 treatments now yield equivalent stroke rates in patients with asymptomatic carotid artery stenosis. According to the study authors, the findings, published online March 25, 2010, ahead of print in Stroke, underline the need for a randomized trial to evaluate carotid intervention, including endarterectomy (CEA) and stenting, compared with state-of-the-art medical therapy.
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Или вот:
Цитата:
By Jason Kahn
Thursday, March 04, 2010
Intensive medical therapy including statin drugs and other risk factor modifications can drastically reduce the incidence of cardiovascular events in patients with asymptomatic carotid stenosis, potentially obviating the need for revascularization in many cases, according to a report in the February 2010 issue of Archives of Neurology.
Researchers led by J. David Spence, MD, of the Stroke Prevention and Atherosclerosis Research Center (London, Canada), looked at 468 patients with asymptomatic carotid disease seen at their institution before (n = 199) or after (n = 269) they started treating such patients with intensive medical therapy, a strategy that began in 2003.
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Ещё:
Цитата:
By Jason Kahn
Thursday, November 12, 2009
A large meta-analysis of over 50,000 patients shows that although the 30-day stroke or death rate for carotid artery stenting (CAS) has decreased over the past several decades, the overall rates for patients with symptomatic disease are higher than those recommended in current American Heart Association (AHA)/American Stroke Association (ASA) guidelines for treating carotid atherosclerosis.
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Как вы понимаете, можно накопать ещё кучу. Так ли плох "аспирин"?
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Абугов Сергей Александрович.
Российский Научный Центр Хирургии им. академика Б.В. Петровского.
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