[Supra-aortic extracranial revascularization in cerebrovascular disorders with special reference to stage classification].
The opinions concerning the value of a surgical approach in cerebrovascular insufficiency due to extracranial occlusive arterial disease are still controverse. We analysed a consecutive series of 216 patients after carotid endarterectomy performed in the period of 1980 to 1988. The preoperative symptoms permitted a classification into the clinical groups I to IV according to Vollmar. All operations were done under standard conditions. An intraluminal shunt was used in 194 patients (90%). In 24 patients (11%) a bilateral carotid revascularisation was carried out. The hospital mortality rate in our groups of patients was 5.1%. In order to evaluate the results, Doppler sonographic and clinical examinations with a mean follow-up of 8.1 months (range: 3 to 60 months) were performed. The neurologic examination revealed an unchanged condition in 63 patients (29%). Twelve patients (5.7%) suffered from a progression of the neurologic disorders.
Herbon
G
G
Klinik und Poliklinik für Herzchirurgie, Universität zu Köln.
Pfannschmidt
J
J
Korb
H
H
Ruschewski
W
W
D001807:Blood Vessel Prosthesis; D002545:Brain Ischemia / Q000145:classification / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery; D016893:Carotid Stenosis / Q000601:surgery*; D002544:Cerebral Infarction / Q000145:classification / Q000601:surgery*; D002548:Cerebral Revascularization; D006801:Humans; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000209:etiology
Supraaortale extrakranielle Revaskularisation bei zerebralen Durchblutungsstörungen unter besonderer Berücksichtigung der Stadieneinteilung.