FRAUNHOFER, S and KIOSSIS, D and HELMBERGER, H and VONSOMMOGGY, S and MAURER, PC (1994) SEVERE BILATERAL CAROTID STENOSIS. VASA-JOURNAL OF VASCULAR DISEASES, 23 (2). pp. 125-130. ISSN 0301-1526,
Full text not available from this repository.Abstract
The indication for carotid endarterectomy in patients with unilateral stenotic lesions as well as the operative risk in patients with bilateral disease is still controversial among experts. We performed a retrospective analysis in our patients with bilateral carotid endarterectomy. 578 patients underwent carotid endarterectomy at our institution from 1986-1992: 54 patients (9.3%) had bilateral carotid disease. 30% of these patients were asymptomatic and 16% had symptoms from both sides. Surgical results concerning the optimal restoration of blood supply (75%) and the occurence of recurrent stenosis (80%) were comparable for patients with unilateral and bilateral carotid endarterectomy. On the contrary, in patients with bilateral carotid disease, both the operative morbidity (2.8%) and mortality (1.8%) were increased as compared to the total study population (1.9% and 0.45% resp.). Carotid endarterectomy is very effective in preventing stroke especially in patients with multiple vessel disease as compared to the natural history of these lesions.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ARTERY STENOSIS; NATURAL-HISTORY; FOLLOW-UP; ENDARTERECTOMY; OCCLUSION; DISEASE; |
| Depositing User: | Dr. Gernot Deinzer |
| Last Modified: | 19 Oct 2022 08:41 |
| URI: | https://pred.uni-regensburg.de/id/eprint/53603 |
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