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术后卒中是较大的周围血管重建术后严重伴发症之一。对伴有颅外血管疾病患者,在施行其他选择性血管手术之前常需先作颈动脉血栓内膜剥除术,但对伴随无症状的颈血管杂音患者是否需作预防性手术,尚有争论。作者在1978～1982年间对1000例选择性周围血管重建术患者常规施行术前冠状动脉造影。295例已知有颅外脑血管疾病。705例为主髂动脉瘤、下肢动脉缺血和内脏动脉缺血等其他血管病变,其中144
Postoperative stroke is one of the more serious complication of postoperative peripheral revascularization. In patients with extracranial vascular disease, prior to the implementation of other selective vascular surgery often require carotid endarterectomy, but with asymptomatic patients with cervical canal murmurs need preventive surgery, there are still controversial . The authors routinely performed preoperative coronary angiography in 1000 patients with selective peripheral revascularization between 1978 and 1982. 295 cases of extracerebral cerebrovascular disease are known. 705 cases of the main iliac artery aneurysm, lower extremity arterial ischemia and visceral artery ischemia and other vascular lesions, of which 144