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Operative Versorgung von Karotisstenosen in Kombination mit herzchirurgischen Eingriffen an der extrakorporalen Zirkulation

dc.contributor.advisorTirilomis, Theodor Prof. Dr.
dc.contributor.authorPölert, Nicolas
dc.titleOperative Versorgung von Karotisstenosen in Kombination mit herzchirurgischen Eingriffen an der extrakorporalen Zirkulationde
dc.title.translatedCarotid Endarterectomy combined with Heart Surgery using Cardiopulmonary Bypassde
dc.contributor.refereeMielke, Dorothee PD Dr.
dc.description.abstracteng100 Patients undergoing simultaneous carotid endarterectomy and heart surgery using cardiopulmonary bypass were examined retrospectively. Pre- and postoperative data were collected and analyzed. Risk factors influencing the postoperative outcome were identified. Within a 30 day postoperative period ten patients died, predominantly suffering cardiac causes. No patient died as a consequence of a neurologic complication. Three patients presented a transient ischaemic attack. Seven patients suffered a stroke, one of them recovered from all neurologic symptoms. The data analysis showed that the risk of death increased with the patient’s age above 70 years and also in the case of an occurring low output syndrome. Patients with bilateral carotid artery stenosis had a significantly higher risk to suffer neurologic complications. For this high risk patient population there isn’t yet enough data to identify the best operative procedure. Hence, further clinical trials are
dc.contributor.coRefereeKazmaier, Stephan PD Dr.
dc.subject.engCarotid Endarterectomyde
dc.subject.engHeart Surgeryde
dc.subject.engCardiopulmonary Bypassde
dc.subject.engCarotid Stenosisde
dc.affiliation.instituteMedizinische Fakultätde
dc.subject.gokfullMedizin (PPN619874732)de
dc.subject.gokfullHerzchirurgie (PPN619875992)de
dc.subject.gokfullGefäßchirurgie (PPN61987600X)de

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