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Die asymptomatische Karotisstenose — kontra Operation

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Aktuelle Herausforderung in der Gefäßchirurgie
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Zusammenfassung

Während die Indikation zur Karotisthrombendarteriektomie im Stadium II wohl heute weitgehend unbestritten ist, gibt es im asymptomatischen Stadium I eine Reihe wichtiger Überlegungen, welche durchaus zu verschiedenen Ergebnissen hinsichtlich der Stellung einer Operationsindikation führen können [17, 19]. Die entscheidende erste Frage muß hierbei lauten: Was heißt asymptomatische Karotisstenose, welche Patienten sind als asymptomatisch und welche als symptomatisch einzustufen (Tabelle 1).

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Literatur

  1. Barnes RW, Marszalek PB (1981) Asymptomatic Carotid Disease in the Cardiovascular Surgical Patient: Is Prophylactic Endarterectomy Necessary? Stroke, Vol 12, No 4: 497–500

    Article  PubMed  CAS  Google Scholar 

  2. Van Berge Henegouwen D, Reimer F (1988) 7-Jahresbilanz nach Karotis-Operation. VASA, Supplementum 26: 218–219

    Google Scholar 

  3. Berlit P, Storz W (1989) Indikation and Stellenwert der Thrombendarteriektomie der Arteria carotis interna. DMW 114: 471–474

    Article  CAS  Google Scholar 

  4. Burke PA, Callow AD, O’Donnel TF, Kelly JJ, Welch H (1982) Prophylactic Carotid Endarterectomy for Asymptomatic Bruit. Arch Surg 117: 1222–1227

    Article  PubMed  CAS  Google Scholar 

  5. Carson SN, Demling RH, Esquivel CO (1981) Aspirin failure in symptomatic atherosclerotic carotid artery disease. Surgery Vol 90, No 6: 1084–1092

    PubMed  CAS  Google Scholar 

  6. Carstensen G, Balzer K (1986) Die asymptomatische Carotisstenose: Wann soll — wann muß man — wann soll man nicht operieren? Langenbecks Arch Chir 369: 97–103

    Article  PubMed  CAS  Google Scholar 

  7. Chambers BR, Norris JW (1984) The Case Against Surgery for Asymptomatic Carotid Stenosis. Stroke, Vol 15, No 6: 964–967

    Article  PubMed  CAS  Google Scholar 

  8. Chambers BR, Norris JW (1986) Outcome in Patients with Asymptomatic Neck Bruits. The New England Journal of Medicine 315: 860–865

    Article  PubMed  CAS  Google Scholar 

  9. Colgan MP, Kingston W, Shanik DG (1985) Asymptomatik carotid stenosis: is prophylactic endarterectomy justifiable? Br J Surg Vol 72: 313–314

    Article  PubMed  CAS  Google Scholar 

  10. Cooperman M, Martin EW, Evans WE (1978) Significance of Asymptomatic Carotid Bruits. Arch Surg 113: 1339–1340

    Article  PubMed  CAS  Google Scholar 

  11. Dixon S, Pais SO, Raviola C, Gomes A, Machleder HI, Baker JD, Busuttil RW, Barker WF, Moore WS (1982) Natural History of Nonstenotic, Asymptomatic Ulcerative Lesions of the Carotid Artery. Arch Surg 117: 1493–1498

    Google Scholar 

  12. Dorazio RA, Ezzet F, Nesbitt NJ (1980) Long-Term Follow-Up of Asymptomatic Carotid Bruits. Am J Surg 140: 212–213

    Article  PubMed  CAS  Google Scholar 

  13. Durward QJ, Ferguson GG, Barr HW (1982) The Natural History of Asymptomatic Carotid Bifurcation Plaques. Stroke, Vol 13, No 4: 459–464

    Article  PubMed  CAS  Google Scholar 

  14. Dyken ML (1986) Carotid Endarterectomy Studies: A Glimmering of Science. Stroke, Vol 17, No 3: 355–358

    Article  PubMed  CAS  Google Scholar 

  15. Evans WE, Cooperman M (1978) The significance of asymptomatic unilateral carotid bruits in preoperative patients. Surgery 83: 521–522

    PubMed  CAS  Google Scholar 

  16. Fields WS, Maslenikov V, Meyer JS, Hass WK, Remington RD, Macdonald M (1970) Joint Study of Extracranial Arterial Occlusion. JAMA, Vol 211, No 12: 1993–2003

    Article  PubMed  CAS  Google Scholar 

  17. Hamann H (1988) Carotid Endarterectomy: Prevention of Stroke in Asymptomatic (Stage I) and Symptomatic (Stage II) Patients? Thorac cardiovasc Surgeon 36: 272–275

    Article  CAS  Google Scholar 

  18. Hamann HG, Cyba-Altunbay S, Schäfer H, Vollmar JF (1986) Asymptomatic Carotid Artery Stenosis, Surgery versus Medical Treatment (Casanova Study). In: PC Maurer, Becker HM, Heidrich H, Hoffmann G, Kriessmann A, Müller-Wiefel H (eds.) What is new in Angiology? H. Zuckschwerdt

    Google Scholar 

  19. Hamann H, Vollmar JF (1989) Chronische arterielle Verschlußkrankheit der supraaortalen Äste. Chirurg 60: 330–339

    PubMed  CAS  Google Scholar 

  20. Hennerici H, Hülsbömer H-B, Hefter H, Lammerts D, Rautenberg W (1987) Natural History of Asymptomatic Extracranial Arterial Disease. Brain 110: 777–791

    Article  PubMed  Google Scholar 

  21. Henerici M, Rautenberg W, Mohr S (1982) Stroke Risk From Symptomless Extracranial Arterial Disease. The Lancet 27: 1180–1183

    Article  Google Scholar 

  22. Heyman A, Wilkinson WE, Heyden S, Helms MJ, Bartel AG, Karp HR, Tyroler HA, Hames CG (1980) Risk of Stroke in Asymptomatic Persons With Cervical Arterial Bruits. New England Journal of Medicine 302: 838–841

    Article  PubMed  CAS  Google Scholar 

  23. Hobson II RW, Towne J (1989) Carotid Endarterectomy for Asymptomatic Carotid Stenosis. Stroke, Vol 20, No 5: 575–576

    Article  PubMed  Google Scholar 

  24. Hobson II RW, Towne J (1989) The role of carotid endarterectomy in asymptomatic carotid stenosis: Status of the Veterans Administration study. Journal of Vascular Surgery, Vol 9, No 2: 400–401

    Article  PubMed  Google Scholar 

  25. Humphries AW, Young JR, Santilli PH, Beven EG, de Wolfe VG (1976) Unoperated, asymptomatic significant internal carotid artery stenosis: A review of 182 instances. Surgery, Vol 80, No 6: 695–698

    CAS  Google Scholar 

  26. Javid H, Ostermiller WE, Hengesh JW, Dye WS, Hunter JA, Najafi H, Julian OC (1970) Natural history of carotid bifurcation atheroma. Surgery, Vol 67, No 1: 80–86

    PubMed  CAS  Google Scholar 

  27. Javid H, Ostermiller WE, Hengesh JW, Dye WS, Hunter JA, Najafi H, Julian OC (1971) Carotid Endarterectomy for Asymptomatic Patients. Arch Surg 102: 389–391

    Article  PubMed  CAS  Google Scholar 

  28. Johnson N, Burnham SJ, Flanigan DP, Goodreau JJ, Yao JST, Bergan JJ (1978) Carotid Enterterectomy: A Follow-up Study of the Contralateral Non-operated Carotid Artery. Ann Surg, Vol 188, No 6: 748–752

    Article  PubMed  CAS  Google Scholar 

  29. Johnson JM, Kennelly MM, Decesare D, Morgan S, Sparrow A (1985) Natural History of Asymptomatic Carotid Plaque. Arch Surg 120: 1010–1012

    Article  PubMed  CAS  Google Scholar 

  30. Kartchner MM, McRae LP (1981) Guidelines for noninvasive evaluation of asymptomatic carotid bruits. Clin Neurosurg 28: 418–428

    PubMed  CAS  Google Scholar 

  31. Kirshner DL, O’Brien MS, Ricotta JJ (1989) Risk factors in a community experience with carotid endarterectomy. Journal of Vascular Surgery, Vol 10, No 2: 178–186

    PubMed  CAS  Google Scholar 

  32. Koch G (1988) Die aktuelle chirurgische Therapie von Stenosen der hirnversorgenden Arterien. VASA, Supp 26: 140–142

    CAS  Google Scholar 

  33. Krämer G, Grönniger J, Süß W, Hopf HC (1986) Carotis-Thrombendarterektomie. DMW 111: 1815–1817

    Google Scholar 

  34. Krämer G, Busse O, Warlow C, Hopf HC (1986) Aktueller Stand gefäßchirurgischer Eingriffe bei zerebrovaskulären Erkrankungen, 2. Karotis-Thrombendartomie. Akt Neurol 13: 188–194

    Google Scholar 

  35. Kroener JM, Dorn PL, Shoor PM, Wickbom IG, Bernstein EF (1980) Prognosis of Asymptomatic Ulcerating Carotid Lesions. Arch Surg 1 15: 1387–1392

    Google Scholar 

  36. Kübel R, Knippschild J, Büdingen HJ, Grögler FM (1988) Rechtfertigt der Langzeitverlauf die Carotis-OP? VASA, Supp 26: 216–218

    Google Scholar 

  37. Levin SM, Sondheimer FK, Levin JM (1980) The Contralateral Diseased but Asymptomatic Carotid Artery: To Operate or Not? Am J Surg 140: 203–205

    Article  PubMed  CAS  Google Scholar 

  38. Moore WS, Boren C, Malone JM, Roon AJ, Eisenberg R, Goldstone J, Mani R (1978) Natural History of Nonstenotic, Asymptomatic Ulcerative Lesions of the Carotid Artery. Arch Surg 113: 1352–1359

    Google Scholar 

  39. Podore PC, De Weese JA, May AG, Rob CG (1980) Asymptomatic contralateral carotid artery stenosis: A five-year follow-up study following carotid endarterectomy. Surg Vol 88, No 6: 748752

    Google Scholar 

  40. Polterauer P, Huk I, Kretschmer G, Entscheff P, Madritsch M, Lackner F (1988) Carotisthrombendarteriektomie (TEA): Indikation, Technik, Ergebnisse. VASA, Supp 26: 159–162

    Google Scholar 

  41. Polterauer P, Kretschmer G, Tuchmann A, Wagner O, Piza F (1982) A. carotis interna-StenoseDesobliteration. Rekonstruktionsergebnisse bei 128 Patienten. Chirurg 53: 446–453

    PubMed  CAS  Google Scholar 

  42. Polterauer P, Kretschmer G, Zöch G, Wagner O, Piza F (1985) Chirurgische Schlaganfallprophylaxe — Thrombendarteriektome bei extrakranieller Karotisstenose im Stadium I und II. Acta chir Austriaca, Heft 1 /2: 25–32

    Google Scholar 

  43. Quinones-Baldrich WJ, Moore WS (1985) Asymptomatic Carotid Stenosis. Rationale for Management. Arch Neurol 42: 378–382

    Google Scholar 

  44. Rautenberg W, Hennerici M, Mess W (1989) Aktuelle Therapie von Stenosen der hirnversorgenden Arterien. VASA, Supp 26: 135–139

    Google Scholar 

  45. Roederer GO, Langlois YE, Jager FR (1984) The Natural History of Carotid Arterial Disease in Asymptomatic Patients With Cervical Bruits. Stroke, Vol 15, No 4: 605–613

    Article  PubMed  CAS  Google Scholar 

  46. Ropper AH, Wechsler LR, Wilson LS (1982) Carotid Bruit And The Risk Of Stroke In Elective Surgery. The New England Journal of Medicine 307: 1388–1390

    Article  PubMed  CAS  Google Scholar 

  47. Sandmann W (1985) Rekonstruktive Chirurgie der supraaortischen Arterien: Fortschritte und Kontroversen. In: Sperling M (Hrsg) Gefäßrekonstruktion und Gefäßersatz im Wandel der letzten 25 Jahre. TM Verlag, Hameln, S 79–88

    Google Scholar 

  48. Sandmann W (1987) Asymptomatic Carotid Stenosis — Is Prophylactic Surgery Indicated? Eur J Vasc Surg 1: 147–149

    Article  PubMed  CAS  Google Scholar 

  49. Seboldt H, Diener HCh, Lohersdorfer E, Fenchel G, Michel J (1990) Rate of TiA, Stroke and Death in a Retrospective 5-Year-Study on Operative and Non-Operative Treatment of Internal Carotid Artery Stenosis. Thorac cardiovasc Surgeon 38 (Suppl): 132

    Google Scholar 

  50. Thompson JE, Patman RD, Talkington CM (1978) Asymptomatic Carotid Bruit: Long-term Outcome of Patients Having Endarterectomy Compared with Unoperated Controls. Ann Surg, Vol 188, No 3: 308–316

    Article  PubMed  CAS  Google Scholar 

  51. Treiman RL, Foran RF, Shore EH, Levin PM (1973) Carotid Bruit. Significance in Patients Undergoing an Abdominal Aortic Operation. Arch Surg 106: 803–805

    Google Scholar 

  52. Valesky A, Reuter C, Busse F, Kummer D (1986) Operative Behandlung asymptomatischer Carotisstenose. DMW, 111: 665–668

    Article  CAS  Google Scholar 

  53. Vollmar JF, Hamann H, Friedrich JM, Arlart IP (1986) Die zerebro-vaskuläre Insuffizienz: Was bringt die frühzeitige Diagnostik für die chirurgische Therapie? VASA, Band 15, Heft 1: 2026

    Google Scholar 

  54. White JS, Sirinek KR, Root HD, Rogers W (1981) Morbidity and Mortality of Carotid Endarterectomy. Arch Surg 116: 409–412

    Article  PubMed  CAS  Google Scholar 

  55. Wolf PA, Kannel WB, Sorlie P, McNamara P (1981) Asymptomatic Carotid Bruit and risk of stroke — The Framingham Study. JAMA 245: 1442–1445

    Article  PubMed  CAS  Google Scholar 

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© 1991 Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt

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Kania, U., Hirner, A., Kalff, J. (1991). Die asymptomatische Karotisstenose — kontra Operation. In: Hepp, W., Raithel, D., Loeprecht, H. (eds) Aktuelle Herausforderung in der Gefäßchirurgie. Steinkopff. https://doi.org/10.1007/978-3-642-72456-5_3

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  • DOI: https://doi.org/10.1007/978-3-642-72456-5_3

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-642-72457-2

  • Online ISBN: 978-3-642-72456-5

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