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Zerebrale Durchblutungsstörungen

A. carotis interna, A. carotis externa, A. carotis communis, A. vertebralis
  • Horst-Wilhelm Kniemeyer

Zusammenfassung

  • Erhebliche Zunahme mit steigendem Alter, 1005/100.000 Männer sowie 799/100.000 Frauen zwischen 65 und 74 Jahren erleiden einen Insult, Tendenz steigend

  • Etwa 220.000 Schlaganfälle pro Jahr in Deutschland

  • In 20–25% der Fälle extrakranielle Strombahn betroffen, d. h. etwa 40.000–50.000 arteriosklerotisch verursachte Schlaganfälle pro Jahr

Literatur

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    ACAS: Executive Committee for the Asymptomatic Carotid Atherosclerosis Study (1995) Endarterectomy for asymptomatic carotid artery stenosis. JAMA 273:1421–8Google Scholar
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    CREST: Stenting versus Endarterectomy for Treatment of Carotid-Artery-Stenosis (2010) N Engl J Med [Epub ahead of print]Google Scholar
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    ECST: European Carotid Surgery Trialists Collaborative Group (1991) European Carotid Surgery Trial: interim results for symptomatic patients with severe (70–99%) or mild (0–29%) carotid stenosis. Lancet 337:1235–42Google Scholar
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    Hamann GF, Siebler M, von Scheidt W (2002) Schlaganfall – Klinik-Diagnostik-Therapie – Interdisziplinäres Handbuch. Ecomed, LandsbergGoogle Scholar
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    Halliday AW, Mansfield AO, Marro J et al. (2004) Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group. Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomised controlled trial. Lancet 363:1491–1502PubMedCrossRefGoogle Scholar
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    ICSS, Ederle J, Dobson J et al. (2010) Carotid artery stenting compared with endarterectomy in patients with symptomatic carotid stenosis (International Carotid Stenting Study): an interim analysis of a randomised controlled trial. Lancet 375(9719):985–97Google Scholar
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    Liapis CD, Bell PR et al. (2009) ESVS guidelines. Invasive treatment for carotid stenosis: indications, techniques. Eur J Vasc Endovasc Surg 37(4 Suppl):1–19PubMedCrossRefGoogle Scholar
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    NASCET: North American Symptomatic Carotid Endarterectomy Trial Collaborators (1991) Beneficial effects of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. New Engl J Med 3256:445–53Google Scholar
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    Nowak T, Luther B, Terörde N (2010) Risiken und Komplikationen gefäßchirurgischer Zugangswege. 1. Rekonstruktionen der Arteria carotis. Gefässchirurgie 15:133–42CrossRefGoogle Scholar
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    SPACE Collaborative Group (2006) 30 day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients: a randomised non-inferiority trial. Lancet 368:1239–47Google Scholar

Copyright information

© Springer Medizin Verlag Heidelberg 2011

Authors and Affiliations

  • Horst-Wilhelm Kniemeyer
    • 1
  1. 1.Klinik für Gefäßchirurgie und Phlebologie Elisabeth KrankenhausEssen

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