Carotid artery stenting - An update Karotisstents - eine Standortbestimmung

Gölitz P, Dörfler A (2013)


Publication Type: Journal article

Publication year: 2013

Journal

Book Volume: 53

Pages Range: 246-250

Journal Issue: 3

DOI: 10.1007/s00117-012-2420-2

Abstract

Clinical/methodical issue: Therapy of carotid stenosis should be based on an accurate assessment of the stenosis and a differentiation between symptomatic and asymptomatic patients. Standard radiological methods: According to current guidelines carotid artery stenting (CAS) can be considered as an established therapeutic alternative to carotid endarterectomy (CEA). Methodical innovations: For the therapy of carotid stenosis CAS has become established as a minimally invasive alternative to CEA because the complication rate has been reduced due to growing experience, technical innovations and external quality assessment. Performance: The CAS procedure should be performed in centers with documented complication rates of < 3 % for asymptomatic and < 6 % for symptomatic stenoses. Achievements: Overall there are no significant differences between CAS and CEA in the treatment of carotid stenosis concerning the secondary prophylactic effect. Practical recommendations: Ideally an interdisciplinary approach should be chosen for the therapy regime. Revascularization of asymptomatic stenoses should be considered critically as these patients might profit from optimized conservative medicinal therapy. © 2013 Springer-Verlag Berlin Heidelberg. Schlüsselwörter: Angioplastie Karotisstenose Endarteriektomie Schlaganfallprävention Stentimplantation.

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How to cite

APA:

Gölitz, P., & Dörfler, A. (2013). Carotid artery stenting - An update Karotisstents - eine Standortbestimmung. Radiologe, 53(3), 246-250. https://doi.org/10.1007/s00117-012-2420-2

MLA:

Gölitz, Philipp, and Arnd Dörfler. "Carotid artery stenting - An update Karotisstents - eine Standortbestimmung." Radiologe 53.3 (2013): 246-250.

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