PTA oder Operation bei der Therapie von Karotisstenosen?

Balzer, K.

doi:10.1007/s00059-004-2538-8

Cited by 5 publications

References 72 publications

(71 reference statements)

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Intraoperatives Monitoring in der Gef��chirurgie

Balzer

2005

Chirurg

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Despite the variety of possibilities to evaluate hemodynamics, ultrasound-in particular duplex sonography-is the method of choice. With an increasing number of endovascular procedures, intraoperative angiograms will remain indispensable. The method of angioscopy is reserved for individual cases. Indirect monitoring in carotid surgery will keep its significance. This includes measuring somatic evoked potentials as well as transcranial duplex sonography, with regard to the increasing importance of plaque morphology and possible neurological consequences. The general recommendation of applying at least one intraoperative control method is necessary in carotid surgery, even if intraluminal shunts are routinely implanted. In addition, quality control of the peripheral vascular system should be sufficiently documented by using one or more methods of examination. So far, in prospective randomized trials, results have not improved by applying intraoperative monitoring methods. Nevertheless, they are indispensable for the careful vascular surgeon and can help to avoid complications and revision with worse prognosis in some cases.

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Intraoperatives Monitoring in der Gef��chirurgie

Balzer

2005

Chirurg

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Treatment of arteriosclerotic carotid stenosis: an overview

et al. 2004

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Endarterectomy for extracranial carotid stenosis has proven to be the method of choice for symptomatic patients suffering from ischemia (NASCET, ECST). The effectivity of the operation for asymptomatic stenosis seems to be likely since the publication of the first results of the ACST trial. The safety and efficiency of carotid stenting has not been proven so far and has to be evaluated in randomized trials comparing surgery and endovascular treatment. We provide an overview of the current trials and try to define the role of carotid stenting.

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