Unit:
Speciality Endovascular TechniquesLibrary of the School of Health Sciences
Author:
Παπουτσής Κωνσταντίνος
Supervisors info:
Καθηγητής Χρήστος Λιάπης (επιβλέπων), Επίκουρος Καθηγητής Ιωάννης Κακίσης, Αναπληρωτής Καθηγητής Χρήστος Κλωνάρης
Original Title:
Αγγειοπλαστική έξω καρωτίδας
Translated title:
External carotid endarterectomy
Summary:
Brain collateral circulation compensates arterial flow in cases of severe
stenosis of the main arterial routes. Internal carotid artery occlusion
represents the most extreme case, in which all possible collateral is
recruited. The prognosis of patients with internal carotid artery occlusion is
grave in both short - term and long - term results, with heavy morbidity and
mortality from stroke. In the majority of patients the symptoms concern the
hemisphere of the occluded internal carotid artery, so revascularization of the
contralateral carotid artery often fails to relieve patients from their
symptoms. Revascularization of an occluded internal carotid artery has long
been abandoned, due to unacceptably
high morbidity and mortality with low patency rates. Abandonment is the case
with ec - ic bypass operations as well, because no benefit was found in
comparison to medical management alone. Revascularization of the external
carotid artery and its important collateral network can relieve the symptoms
and was found safe and effective. Angioplasty of the external carotid artery is
the endovascular alternative of open endarterectomy, with encouraging results
as to its safety and efficacy in the revascularization of the hemisphere of an
occluded internal carotid artery. The indications, the technical aspects, the
concomitant medication and the follow up protocol remains unclear, as is its
comparison with open endarterectomy and medical treatment.
Keywords:
External carotid, Carotid, Brain, Angioplasty, Stent
Number of references:
112
