Zusammenfassung
Schlaganfälle, die durch einen akuten Verschluss der extrakraniellen A. carotis interna (ACI) verursacht werden, sind von anderen Verschlüssen beim akuten Schlaganfall zu differenzieren. Der pathophysiologische Prozess bei Verschlüssen der extrakraniellen ACI verläuft ähnlich wie bei Koronararterienokklusionen. Das okkludierte Segment der ACI besteht hauptsächlich aus einer arteriosklerotischen Plaque und einem aufgelagerten Thrombus. Während der Stellenwert der endovaskulären Therapie bei intrakraniellen Verschlüssen etabliert ist, ist die akute Behandlung extrakranieller ACI-Verschlüsse noch nicht in randomisierten Studien bewiesen. Das primäre Stenting bei akuten extrakraniellen arteriosklerotischen Verschlüssen der ACI ist eine Behandlungsoption mit guten klinischen Ergebnissen. Diese Review diskutiert die endovaskuläre Behandlung des akuten extrakraniellen ACI-Verschlusses.
Abstract
Acute extracranial internal carotid artery (ICA) occlusions resulting in ischemic stroke are different from other forms of acute occlusions of cerebral vessels. The pathophysiological process involved in occlusion of the extracranial ICA is similar to processes observed in acute occlusion of the coronary arteries. The occluded segment of the ICA predominantly consists of an atherosclerotic plaque and a superimposed thrombus. Although the value of endovascular therapy has been established for intracranial occlusions, the acute treatment of extracranial ICA occlusions has not yet been proven in randomized studies. In these patients primary stenting of acute extracranial occlusions of the ICA is a treatment option with good clinical results. This review discusses the endovascular treatment of acute extracranial ICA occlusions.
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M. Boutchakova und P. Papanagiotou geben an, dass kein Interessenkonflikt besteht.
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Boutchakova, M., Papanagiotou, P. Endovaskuläre Behandlung der akuten Okklusion der extrakraniellen A. carotis. Radiologe 56, 18–23 (2016). https://doi.org/10.1007/s00117-015-0060-z
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DOI: https://doi.org/10.1007/s00117-015-0060-z