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Extrakranielle Karotisstenose

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Evidenzbasierte Gefäßchirurgie

Part of the book series: Evidenzbasierte Chirurgie ((EC))

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Zusammenfassung

Die Carotis-Thrombendarteriektomie (CEA) stellt die Methode der Wahl bei der Behandlung der asymptomatischen und symptomatischen Karotisstenose dar. Carotis-Stenting (CAS) kann bei asymptomatischer Stenose eine Alternative zur CEA sein, vorausgesetzt, die dokumentierten perioperativen Schlaganfall/Tod-Raten sind < 3 % und die Lebenserwartung des Patienten beträgt > 5 Jahre. Bei symptomatischer Stenose kann CAS als Alternative zur Chirurgie erwogen werden, vorausgesetzt, die dokumentierte prozedurale Schlaganfall/Tod-Rate ist < 6 %. Patienten, die sich einer Revaskularisation in den ersten 14 Tagen nach Symptombeginn unterziehen, sollten eher CEA als CAS unterzogen werden.

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Notes

  1. 1.

    Der Stellenwert der 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. Wissenschaftlicher Medizinischer Direktor Kreiskliniken Altötting-Burghausen, Burghausen, Bayern, Deutschland

    Reinhart T. Grundmann

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  1. E. Sebastian Debus
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Correspondence to E. Sebastian Debus .

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Debus, E.S., Grundmann, R.T. (2019). Extrakranielle Karotisstenose. In: Evidenzbasierte Gefäßchirurgie. Evidenzbasierte Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57709-7_1

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  • DOI: https://doi.org/10.1007/978-3-662-57709-7_1

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  • Print ISBN: 978-3-662-57708-0

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