title: [Surgical treatment of cerebral ischemia. Indications for surgery in carotid artery stenosis (author's transl)].
abstract: Reconstruction of carotid arteries should preferably be a prophylactic measure and only in exceptional cases a therapeutic procedure. The best results are seen in stage I (asymptomatic) or in stage II (transient ischemic attacks). Surgical intervention in acute cerebral vascular insufficiency is indicated only with a conscious patient with a negative brain scan and without progressing symptoms (stage III a). In stage IIIb (progressive stroke) and stage IVa (acute completed stroke) operative treatment is contraindicated because of a high mortality rate. In accidents with persisting neurologic symptoms (completed stroke more than 2 weeks old) necessary reconstruction of the contralateral vessel is indicated.
mesh_terms: D000368:Aged; D002340:Carotid Artery Diseases / Q000601:surgery; D002561:Cerebrovascular Disorders / Q000145:classification / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D002534:Hypoxia, Brain / Q000601:surgery; D002546:Ischemic Attack, Transient / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013997:Time Factors
vernacular_title: Chirurgische Behandlung der Mangeldurchblutung des Gehirns. Operationsindikationen bei Karotisstenosen