title: [Reconstructive surgery for supraaortic occlusions--a report of 356 cases].
abstract: Internal carotid endarterectomy is an effective and long-lasting means of preventing cerebrovascular accidents. It was entirely successful in 97% of asymtomatic patients. 85% of patients with transient ischemic attacks experienced no further symptoms. In patients with acute stroke, 52% were improved by the operation, but the mortality in this group was 23,9%. We therefore perform emergency carotid endarterectomy only in a conscious patient and within 8 hours of the stroke. The early and late results after reconstruction of the other supra-aortic vessels were good in 90% of cases.
mesh_terms: D000328:Adult; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000601:surgery*; D002339:Carotid Arteries / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery*; D004691:Endarterectomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000601:surgery*; D014711:Vertebral Artery / Q000601:surgery*
vernacular_title: Bericht über 356 Wiederherstellungsoperationen an den supraaortalen Asten.