Karotisscreening vor chirurgischen Eingriffen: Wann ist eine präoperative Duplexsonographie sinnvoll?

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Karotisscreening vor chirurgischen Eingriffen: Wann ist eine präoperative Duplexsonographie sinnvoll? / Wipper, S; Stoberok, K; Atlihan, G; Kieback, A; Lohrenz, C; Diener, H; Debus, E S.

In: CHIRURG, Vol. 85, No. 7, 07.2014, p. 616-621.

Research output: SCORING: Contribution to journalSCORING: Review articleResearch

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@article{7e590abb3918497b9713f64e19ff9db0,
title = "Karotisscreening vor chirurgischen Eingriffen: Wann ist eine pr{\"a}operative Duplexsonographie sinnvoll?",
abstract = "Carotid artery stenosis is a marker for generalized atherosclerosis with high cerebrovascular and cardiovascular morbidity and mortality rates. There is an estimated increase in prevalence of moderate stenosis for older age and male sex. Asymptomatic carotid artery stenosis is a risk factor for perioperative neurological events during general surgery. Planning of effective preoperative screening of populations at risk for asymptomatic carotid artery stenosis is best evaluated for cardiac surgery. General screening is not recommended; however, preoperative screening for asymptomatic carotid artery stenosis should be performed in high-risk patients with options for surgical or interventional treatment. These are patients with clinical signs of peripheral arterial disease and patients over 65 years old with at least one of the risk factors coronary artery disease, smoking and hypercholesterinemia. Preoperative screening in patients with carotid bruits may also be useful. Preoperative carotid artery screening may be beneficial in detecting occult carotid artery stenosis and thereby reducing perioperative neurological events. ",
keywords = "Age Factors, Aged, Carotid Stenosis/diagnostic imaging, Cross-Sectional Studies, Female, Humans, Male, Preoperative Care, Risk Factors, Sex Factors, Ultrasonography, Doppler, Duplex",
author = "S Wipper and K Stoberok and G Atlihan and A Kieback and C Lohrenz and H Diener and Debus, {E S}",
year = "2014",
month = jul,
doi = "10.1007/s00104-013-2658-x",
language = "Deutsch",
volume = "85",
pages = "616--621",
journal = "CHIRURG",
issn = "0009-4722",
publisher = "Springer",
number = "7",

}

RIS

TY - JOUR

T1 - Karotisscreening vor chirurgischen Eingriffen: Wann ist eine präoperative Duplexsonographie sinnvoll?

AU - Wipper, S

AU - Stoberok, K

AU - Atlihan, G

AU - Kieback, A

AU - Lohrenz, C

AU - Diener, H

AU - Debus, E S

PY - 2014/7

Y1 - 2014/7

N2 - Carotid artery stenosis is a marker for generalized atherosclerosis with high cerebrovascular and cardiovascular morbidity and mortality rates. There is an estimated increase in prevalence of moderate stenosis for older age and male sex. Asymptomatic carotid artery stenosis is a risk factor for perioperative neurological events during general surgery. Planning of effective preoperative screening of populations at risk for asymptomatic carotid artery stenosis is best evaluated for cardiac surgery. General screening is not recommended; however, preoperative screening for asymptomatic carotid artery stenosis should be performed in high-risk patients with options for surgical or interventional treatment. These are patients with clinical signs of peripheral arterial disease and patients over 65 years old with at least one of the risk factors coronary artery disease, smoking and hypercholesterinemia. Preoperative screening in patients with carotid bruits may also be useful. Preoperative carotid artery screening may be beneficial in detecting occult carotid artery stenosis and thereby reducing perioperative neurological events.

AB - Carotid artery stenosis is a marker for generalized atherosclerosis with high cerebrovascular and cardiovascular morbidity and mortality rates. There is an estimated increase in prevalence of moderate stenosis for older age and male sex. Asymptomatic carotid artery stenosis is a risk factor for perioperative neurological events during general surgery. Planning of effective preoperative screening of populations at risk for asymptomatic carotid artery stenosis is best evaluated for cardiac surgery. General screening is not recommended; however, preoperative screening for asymptomatic carotid artery stenosis should be performed in high-risk patients with options for surgical or interventional treatment. These are patients with clinical signs of peripheral arterial disease and patients over 65 years old with at least one of the risk factors coronary artery disease, smoking and hypercholesterinemia. Preoperative screening in patients with carotid bruits may also be useful. Preoperative carotid artery screening may be beneficial in detecting occult carotid artery stenosis and thereby reducing perioperative neurological events.

KW - Age Factors

KW - Aged

KW - Carotid Stenosis/diagnostic imaging

KW - Cross-Sectional Studies

KW - Female

KW - Humans

KW - Male

KW - Preoperative Care

KW - Risk Factors

KW - Sex Factors

KW - Ultrasonography, Doppler, Duplex

U2 - 10.1007/s00104-013-2658-x

DO - 10.1007/s00104-013-2658-x

M3 - SCORING: Review

C2 - 24449082

VL - 85

SP - 616

EP - 621

JO - CHIRURG

JF - CHIRURG

SN - 0009-4722

IS - 7

ER -