Offene Therapie der Karotisstenose durch Endarteriektomie
Standard
Offene Therapie der Karotisstenose durch Endarteriektomie. / Debus, E S; Larena, A; Wintzer, Ch.
In: CHIRURG, Vol. 75, No. 7, 07.2004, p. 658-666.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Offene Therapie der Karotisstenose durch Endarteriektomie
AU - Debus, E S
AU - Larena, A
AU - Wintzer, Ch
PY - 2004/7
Y1 - 2004/7
N2 - Carotid endarterectomy is a routine procedure in vascular surgery. Besides clinical symptoms and the degree of stenosis, indication for surgery is influenced by the perioperative complication rate. This depends on stroke and the mortality rate and should not exceed 6% in symptomatic, high-grade stenosis, according to the Stroke Council of the American Heart Association. Techniques of carotid disobliteration include the conventional open thrombendarterectomy by means of a longitudinal arteriotomy and the eversion technique. In the former, closure by direct suture or patch plasty are possible. Different methods for cerebral protection during the clamping time exist, of which shunt protection is the most common. The various operative techniques are described and critically discussed.
AB - Carotid endarterectomy is a routine procedure in vascular surgery. Besides clinical symptoms and the degree of stenosis, indication for surgery is influenced by the perioperative complication rate. This depends on stroke and the mortality rate and should not exceed 6% in symptomatic, high-grade stenosis, according to the Stroke Council of the American Heart Association. Techniques of carotid disobliteration include the conventional open thrombendarterectomy by means of a longitudinal arteriotomy and the eversion technique. In the former, closure by direct suture or patch plasty are possible. Different methods for cerebral protection during the clamping time exist, of which shunt protection is the most common. The various operative techniques are described and critically discussed.
KW - Carotid Artery, Internal/surgery
KW - Carotid Stenosis/mortality
KW - Cerebral Infarction/mortality
KW - Endarterectomy, Carotid/methods
KW - Humans
KW - Postoperative Complications/mortality
KW - Secondary Prevention
KW - Survival Analysis
KW - Treatment Outcome
U2 - 10.1007/s00104-004-0872-2
DO - 10.1007/s00104-004-0872-2
M3 - SCORING: Zeitschriftenaufsatz
C2 - 15221089
VL - 75
SP - 658
EP - 666
JO - CHIRURG
JF - CHIRURG
SN - 0009-4722
IS - 7
ER -