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Acute and Prophylactic Endovascular Treatment of Internal Carotid Artery Stenosis*

Akute und prophylaktische Behandlung von A.-carotis-interna-Stenosen

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Abstract

Stroke is the third most common cause of death in the USA. Up to 20% of all strokes are caused by internal carotid artery (ICA) stenosis. This article reviews the treatment of ICA stenosis, its indication, and its relevance for stroke prevention. The article also discusses the indication of ICA stenosis treatment in an acute stroke situation and offers pathophysiological commentary.

Zusammenfassung

Der Schlaganfall ist die dritthäufigste Todesursache in den USA. Stenosen der A. carotis interna (ACI) sind Ursache für 20% aller Schlaganfälle. Dieser Artikel gibt einen Überblick über die Indikationsstellung und die schlaganfallpräventive Bedeutung der Behandlung von Stenosen der ACI. Außerdem beschreibt der Artikel die Indikationsstellung und eine pathophysiologische Erläuterung zur Behandlung von ACI-Stenosen beim akuten Schlaganfall.

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Authors and Affiliations

  1. Department of Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

    Oliver Wittkugel MD

  2. Department of Neuroradiology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany

    Oliver Wittkugel MD

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Correspondence to Oliver Wittkugel MD.

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* Dedicated to Professor Hermann Zeumer, MD, on the occasion of his 65th birthday and his retirement.

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Wittkugel, O. Acute and Prophylactic Endovascular Treatment of Internal Carotid Artery Stenosis*. Clin Neuroradiol 19, 31–37 (2009). https://doi.org/10.1007/s00062-009-8037-9

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