Zentralblatt für Chirurgie
-
Case Reports Webcasts
[Surgery of high-grade asymptomatic stenosis of the internal carotid artery].
Surgery of carotid artery stenosis is an evidence-based procedure. In Germany approximately 25 percent of the strokes are caused by arteriosclerotic processes in the extracranial internal carotid artery and are consequently potentially avoidable by an appropriate treatment. The symptoms, the stenosis degree as well as the perioperative risk represent the basis for the indication. The perioperative complication rate should be under 3 percent for those cases with asymptomatic stenoses and under 6 percent for those with symptomatic stenoses. ⋯ In the hands of experienced vascular surgeons, the open carotid TEA including patch graft and the eversion endarterectomy under regional anaesthesia represent highly effective procedures for symptomatic/asymptomatic carotid stenosis. The S3-guidelines for the therapy of carotid artery stenosis will be published this year and should be consulted for the interdisciplinary therapy decision.