[Modification of non-hemispheric symptoms by carotid endarterectomy].
In case of multi-locular supra-aortic lesions the correction of a hemodynamic carotid stenosis has priority over any reconstruction of another supra-aortic lesion. Thus carotid endarterectomy leads to an improvement of the global cerebral perfusion. Patients with a classical vertebro-basilar insufficiency profit most by these operations. A subclavian or vertebral reconstruction or PTA is indicated only if the patient is not symptom-free after the carotid endarterectomy.
Raithel
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Abteilung für Gefässchirurgie, Klinikum, Nürnberg.
D002545:Brain Ischemia / Q000503:physiopathology* / Q000601:surgery*; D016893:Carotid Stenosis / Q000503:physiopathology* / Q000601:surgery*; D002540:Cerebral Cortex / Q000098:blood supply / Q000503:physiopathology; D004292:Dominance, Cerebral / Q000502:physiology*; D004569:Electroencephalography; D004691:Endarterectomy; D005071:Evoked Potentials / Q000502:physiology; D005500:Follow-Up Studies; D006801:Humans; D002546:Ischemic Attack, Transient / Q000503:physiopathology* / Q000601:surgery*; D014715:Vertebrobasilar Insufficiency / Q000503:physiopathology / Q000601:surgery