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妙佑医疗国际是美国规模最大、经验最丰富的医疗机构之一,在亚利桑那州、佛罗里达州和明尼苏达州都有院区。医务人员掌握数几十种专业技能,齐心协力,确保高品质治疗与成功康复。

治疗此病症的医生

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  1. Waleed Brinjikji, M.D.

    Waleed Brinjikji, M.D.

    1. Rochester, MN
    擅长领域:

    Sclerotherapy, Carotid angioplasty and stenting, Endovascular aneurysm repair, Embolization therapy, Carotid artery dis...ease, Pseudotumor cerebri, Venous malformation, Hereditary hemorrhagic telangiectasia, Brain AVM, Brain aneurysm, Central nervous system vascular malformations, Dural arteriovenous fistula, Spinal arteriovenous malformation, Craniofacial vascular malformation, Spontaneous intracranial hypotension, Ischemic stroke, Vascular malformation

  2. Robert D. Brown, Jr., M.D., M.P.H.

    Robert D. Brown, Jr., M.D., M.P.H.

    1. Neurologist
    1. Rochester, MN
    擅长领域:

    Stroke prevention, Central nervous system vascular malformations, Arteriovenous malformation, CNS vasculitis, Transient... ischemic attack, Stroke, Carotid artery disease, Cavernous malformations, Brain aneurysm

  3. Ana I. Casanegra, M.D., M.S.

    Ana I. Casanegra, M.D., M.S.

    1. Vascular Medicine Specialist
    2. Internist
    1. Rochester, MN
    擅长领域:

    Ultrasound, Anticoagulant therapy, Antiphospholipid syndrome, Thrombophlebitis, Protein S deficiency, Carotid artery di...sease, Fibromuscular dysplasia, Venous thrombosis, Factor V Leiden, Carotid artery dissection, Peripheral artery disease, Protein C deficiency, Renal artery stenosis, Pulmonary embolism, Thrombophilia, Aortic dissection, Congenital blood clotting disorder, Deep vein thrombosis, Vasospastic disorders, Aneurysm, Antithrombin deficiency, Arterial embolism, Visceral artery aneurysm

  4. Jill J. Colglazier, M.D.

    Jill J. Colglazier, M.D.

    1. Vascular Surgeon
    2. General Surgeon
    1. Rochester, MN
    擅长领域:

    Mesenteric artery bypass, Carotid endarterectomy, Arteriovenous fistula surgery, Carotid angioplasty and stenting, Thro...mbectomy, Carotid artery reconstruction, Thrombolysis, Varicose vein ablation, Endovascular aneurysm repair, Thoracic aortic aneurysm surgery, Carotid angiogram, Femoral endarterectomy, Aortic aneurysm repair, Fistulogram, Endovascular reconstruction, Aneurysm surgery, Thoracic endovascular aneurysm repair , Endovascular treatment, Angiogram, Angioplasty, Vascular malformation, Carotid artery disease, Varicose vein, Claudication, Deep vein thrombosis, Aortic dissection, Thoracic outlet syndrome, Fibromuscular dysplasia, Cerebrovascular disease, Arteriosclerosis/atherosclerosis, Aortic disorder, Arteriovenous malformation, Peripheral artery disease, Thoracoabdominal aortic aneurysm, Abdominal aortic aneurysm, Popliteal artery entrapment syndrome, Venous aneurysm, Carotid body tumor, Median arcuate ligament syndrome, Aortoiliac disease, Renal artery aneurysm, Carotid artery dissection, Arteriovenous fistula, Venous malformation, Vascular graft infection, Aortic ulcer, Popliteal aneurysm, Venous insufficiency, Aneurysm, Aortic aneurysm, Arterial aneurysm, Thoracic aortic aneurysm, Vascular anomaly, Lymphedema, Venous disorder, Mesenteric ischemia, Nutcracker syndrome , Marfan syndrome, Takayasu's arteritis, Critical limb ischemia

  5. Victor J. Davila, M.D.

    Victor J. Davila, M.D.

    1. General Surgeon
    1. Phoenix, AZ
    擅长领域:

    Vascular stent procedure, Carotid endarterectomy, Carotid angioplasty and stenting, Hemodialysis vascular access surger...y, Vascular bypass surgery, Aneurysm surgery, Endovascular treatment, Femoral endarterectomy, Angioplasty, Aortoiliac disease, Varicose vein, Aortic aneurysm, Cerebrovascular disease, Renovascular disease, Carotid artery disease, Mesenteric ischemia

  6. Randall R. DeMartino, M.D., M.S.

    Randall R. DeMartino, M.D., M.S.

    1. Vascular Surgeon
    1. Rochester, MN
    擅长领域:

    Femoral endarterectomy, Arteriovenous fistula surgery, Mesenteric artery bypass, Arteriovenous malformation surgery, Ao...rtic aneurysm repair, Fistulogram, Thrombolysis, Carotid angioplasty and stenting, Thoracic aortic aneurysm surgery, Varicose vein ablation, Angioplasty, Thoracoabdominal aortic aneurysm repair, Carotid endarterectomy, Angiogram, Abdominal aortic aneurysm, Vascular malformation, Critical limb ischemia, Venous aneurysm, Deep vein thrombosis, Venous insufficiency, Renal artery aneurysm, Popliteal artery entrapment syndrome, Thoracic outlet syndrome, Venous malformation, Peripheral artery disease, Carotid body tumor, Median arcuate ligament syndrome, Varicose vein, Mesenteric ischemia, Aortic aneurysm, Nutcracker syndrome , Aortic disorder, Venous thrombosis, Lymphedema, Vascular anomaly, Takayasu's arteritis, Thoracoabdominal aortic aneurysm, Carotid artery dissection, Arteriovenous fistula, Thoracic aortic aneurysm, Marfan syndrome, Aneurysm, Renal artery stenosis, Popliteal aneurysm, Aortic dissection, Arteriovenous malformation, Aortoiliac disease, Carotid artery disease, Arteriosclerosis/atherosclerosis, Aortic ulcer, Vascular graft infection, Cerebrovascular disease, Fibromuscular dysplasia, Venous disorder

  7. Oana M. Dumitrascu, M.D.

    Oana M. Dumitrascu, M.D.

    1. Neurologist
    2. Vascular Neurologist
    1. Phoenix, AZ
    擅长领域:

    Botox injection, Transcranial Doppler test, Telestroke, Vascular dementia, Retinal vein occlusion, Moyamoya disease, CN...S vasculitis, Fibromuscular dysplasia, Cerebral amyloid angiopathy, Cerebrovascular disease, Optic neuritis, Carotid artery disease, Transient ischemic attack, Double vision, Spinal cord infarction, Stroke

  8. Stephen W. English, Jr., M.D., M.B.A.

    Stephen W. English, Jr., M.D., M.B.A.

    1. Vascular Neurologist
    2. Neurologist
    1. Jacksonville, FL
    擅长领域:

    Telestroke, Cavernous malformations, Subarachnoid hemorrhage, Ischemic stroke, Subdural hemorrhage, Carotid artery dise...ase, Brain aneurysm, Carotid artery dissection, Intracerebral hemorrhage

  9. William (Chris) C. Fox, M.D.

    William (Chris) C. Fox, M.D.

    1. Jacksonville, FL
    擅长领域:

    Revision spinal surgery, Endovascular aneurysm repair, Stereotactic radiosurgery, Carotid angioplasty and stenting, Cer...ebral angiogram, Spinal angiogram, Thrombectomy, Diskectomy, Foraminotomy, Minimally invasive surgery, Spinal fusion, Laminectomy, Endarterectomy, Microvascular surgery, Kyphoplasty, Moyamoya disease, Spinal arteriovenous malformation, Brain aneurysm, Cervical radiculopathy, Lumbar spinal stenosis, Carotid artery disease, Cavernous malformations, Arteriovenous malformation, Cervical spondylosis, Arteriovenous fistula, Brain AVM, Cervical myelopathy, Degenerative disk disease, Degenerative scoliosis, Central nervous system vascular malformations, Stroke, Lumbar radiculopathy, Cervical spinal stenosis

  10. Courtney M. Hrdlicka, M.D.

    Courtney M. Hrdlicka, M.D.

    1. Neurologist
    2. Vascular Neurologist
    1. Phoenix, AZ
    擅长领域:

    Telestroke, Cerebrovascular disease, Carotid artery disease, Ischemic stroke, Cerebral amyloid angiopathy, Brain hemorr...hage, Fibromuscular dysplasia, Vascular malformation, Transient ischemic attack, Stroke, Embolic stroke

研究

妙佑医疗国际的研究人员一直努力改进颈动脉疾病的诊断和治疗。具体工作包括对无症状颈动脉疾病的治疗方案和有症状颈动脉疾病的手术治疗技术进行评估,并根据医学治疗和手术技术的进展,评估可以得到最优结果的技术。

妙佑医疗国际的研究人员参与了一项多中心的颈动脉血运重建动脉内膜切除术与支架置入术的对比试验(CREST),该项试验确立了治疗方案并比较了两种手术方式的结果。

妙佑医疗国际目前是 CREST2 试验的临床协调中心,这项试验旨在比较三种不同的脑卒中预防方法的异同,为颈动脉缩窄的患者找到最安全和最有效的治疗方案。评估 CREST 数据的相关工作有助于深入了解动脉内膜切除术中补片的有效性。

CREST 试验

Vivien Williams:颈动脉疾病可增加卒中的风险。颈部动脉中会不断堆积斑块,当部分斑块脱落时,其可能会流入大脑并阻断血液供应。一项研究结果中提供的信息可帮助医生为患者选择最佳的预防性手术。该研究已发表于《新英格兰医学杂志》。

该研究称为 CREST 试验,即颈动脉血运重建内膜切除术与支架置入术对比试验。研究人员测试了开放手术与颈动脉支架置入术,并对比分析了哪种手术能更安全有效地打通阻塞和预防卒中。研究结果表明,在 80 岁以下人群中,开放手术和支架置入术在预防卒中方面同样安全有效。

医学博士 Albert Hakaim(妙佑医疗国际血管手术):CREST 试验显示,对于年龄较大的患者和大多数年龄较大的血管病患者,颈动脉内膜切除术优于支架植入术。

Vivien Williams:Albert Hakaim 医生表示,相较于开放手术,80 岁以上人群接受支架置入术来打通颈动脉阻塞后,发生卒中的风险更高。但对于 80 岁以下群体,这两种手术同样有益。

如动画所示,动脉壁上常年积聚的斑块可能导致血管阻塞。斑块一旦脱落,就可能会流向大脑并阻断血液供应,导致卒中。我们来对比了解这两种手术。

首先是标准的开放手术。对患者进行全身麻醉后,Hakaim 医生在患者颈部做一个切口,露出颈动脉,即将血液输送到面部和大脑的动脉。然后他插入一个临时分流器来重新引导血流,以便对动脉进行手术。接下来,他纵向切开动脉,去除其中斑块,然后将切口缝合。

接下来是侵入性更小的支架植入术。对患者进行局部麻醉后,Hakaim 医生通过患者腿部的股动脉将一根导管引导至颈部阻塞处。他在阻塞处的上方放置一个小小的伞形装置,以确保脱落的斑块不会流入大脑。然后他在阻塞处展开一个支架,这个支架要借助球囊撑开至合适的位置。该支架会打通动脉并将斑块向动脉壁挤压。

医学博士 Albert Hakaim:这是颈总动脉。这是动脉分岔的地方,这条分支流向面部。这是变窄的地方。这是进行血管成形术之前放置的支架。

Vivien Williams:这两种手术均能安全有效地预防适用人群发生卒中。CREST 试验意义重大,因为卒中是美国第三大致死原因,也是第一大致残原因。现在,医生可以更加确信哪种手术能够更有效地降低患者卒中的风险。Medical Edge,Vivien Williams 报道。

此外,妙佑医疗国际的临床医生还致力于推进颈动脉斑块特征的超声波评估,从而更好地根据超声波检查来识别具有较高卒中风险的斑块。

文献

请参阅美国国家医学图书馆检索服务系统 PubMed 所收录的妙佑医疗国际医生在颈动脉疾病领域的文献著述列表

在 Mayo Clinic 治疗

July 02, 2022