Zusammenfassung
Bei Patienten mit akutem ischämischem Schlaganfall, die sich aufgrund einer Okklusion der A. carotis interna (ACI) mit einer schwerwiegenden klinischen Symptomatik präsentieren, hat sich noch keine interventionelle Therapie etabliert. In der Literatur existieren nur einzelne Studien und Fallberichte über die Revaskularisierung eines akuten ACI-Verschlusses. Rekanalisierung und Stentimplantation eines akut aufgetretenen ACI-Verschlusses bei selektierten Patienten können zu einer deutlichen Besserung der klinischen Symptomatik führen.
Abstract
For patients with acute ischemic stroke due to total occlusion of the internal carotid artery (ICA), an effective intervention to improve neurologic symptoms and clinical outcome has not yet been established. Some authors have reported successful revascularization for patients with acute stroke symptoms secondary to ICA occlusion only in isolated series and case reports. Emergency recanalization and carotid artery stent placement can improve neurologic outcome in selected patients with acute ischemic stroke and total occlusion of the ICA.
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Papanagiotou, P., Roth, C., Grunwald, I. et al. Karotisstent beim akuten Schlaganfall. Radiologe 49, 335–339 (2009). https://doi.org/10.1007/s00117-008-1775-x
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DOI: https://doi.org/10.1007/s00117-008-1775-x