Abstract
Since indication for carotid endarterectomy in symptomatic as well as in asymptomatic patients is well defined by recent randomised clinical studies (NASCET, ECST, ACAS) our aim must be to reduce perioperative mortality and morbidity to acceptable limits. To show significant benefits of surgical therapy during the first 2 years, it is necessary to reach a stroke rate/death rate of less than 3 %.
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References
Anthony T, Johansen K (1994) Optimal outcome for “high-risk” carotid endarterectomy. Am J Surg 167:469–71
Bergeron P, Benichou H, Rudondy P et al. (1991) Stroke prevention during carotid surgery in high risk patients. J cardiovasc Surg 32:713–9
Davies MJ, Murell GC, Cronin KD et al. (1990) Carotid endarterectomy under cervical plexus block: a prospective clinical audit, Anaest Intensive Care 18:219–23
European Carotid Surgery Trialists Collaborative Group (1991) MRC European Carotid Surgery Trial. Interim results for symptomatic patients with severe (70 – 99 %) or with mild (0 – 29 %) carotid stenosis. Lancet 337:1235–43
Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis. JAMA 273:1421–8
Fried KS, Elias SM, Raggi R (1990) Carotid endarterectomy under locak anesthesia. N Eng J Med 87:795–7
North American Symptomatik Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symtomatic patients with high-grade carotid stenosis. New Engl J Med 325:445–507
Pruitt JC (1983) 1009 Consecutive carotid endarterectomies using local anesthesia. EEG and selective shunting with the Pruitt Inahara carotid shunt. Contemp Surg 23:49–58
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© 1998 Springer-Verlag Berlin Heidelberg
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Hagmüller, G.W., Hastermann, G., Ptakovsky, H. (1998). Local anesthesia and intraoperative quality control in carotid surgery. In: Horsch, S., Ktenidis, K. (eds) Perioperative Monitoring in Carotid Surgery. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-95990-5_12
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DOI: https://doi.org/10.1007/978-3-642-95990-5_12
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-642-95992-9
Online ISBN: 978-3-642-95990-5
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