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Extrakranielle Karotisstenose

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Evidenzbasierte Gefäßchirurgie

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Zusammenfassung

Die Carotis-Thrombendarteriektomie (CEA) stellt die Methode der Wahl bei der Behandlung der asymptomatischen und symptomatischen Karotisstenose dar. Die Stentbehandlung (CAS) kann gegenüber der offenen Operation bei Restenosen nach CEA/radiogenen Stenosen/hochzervikalen Stenosen/Tandemstenosen mit höhergradiger intrakranieller oder intrathorakaler Stenose/kontralateraler Parese des N. laryngeus recurrens Vorteile bringen. Speziell Frauen unter 75 Jahre, Patienten mit kontralateraler Okklusion und Restenose haben bei CAS im Vergleich zur CEA wahrscheinlich kein erhöhtes Risiko.

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Notes

  1. 1.

    Der Stellenwert des CAS im Vergleich zur CEA in der Behandlung symptomatischer Karotisstenosen kann aufgrund der vorliegenden Studiendaten bei methodischen Mängeln und fehlenden Langzeitdaten nicht abschließend beurteilt werden.

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Authors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    E. Sebastian Debus

  2. ehem. Wissenschaftlich Medizinischer Direktor Kreiskliniken Altötting-Burghausen, Burghausen, Deutschland

    Reinhart T. Grundmann

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Correspondence to E. Sebastian Debus .

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Debus, E., Grundmann, R. (2015). Extrakranielle Karotisstenose. In: Evidenzbasierte Gefäßchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47167-8_1

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  • DOI: https://doi.org/10.1007/978-3-662-47167-8_1

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