Therapie bei asymptomatischer Stenose der extrakraniellen A. carotis

Für die asymptomatische Karotisstenose, definiert als eine arteriosklerotische Karotisstenose mit neurologischer Symptomfreiheit seit über 6 Monaten, gibt es im Gegensatz zur symptomatischen Karotisstenose immer noch keine sicheren Behandlungsempfehlungen. Dieser Beitrag beschreibt die auf der aktuellen Datenlage basierenden möglichen Therapieempfehlungen.

Abstract

For the asymptomatic carotid stenosis, defined as an atherosclerotic carotid stenosis without neurological symptoms for more than 6 months, there are in contrast to a symptomatic carotid stenosis still no reliable treatment recommendations. Possible therapy recommendations based on current data are presented below.

Schlüsselwörter

asymptomatische Karotisstenose - Karotis-Thrombendarterektomie - Karotisstenting - konservative Therapie - Schlaganfall-Primärprophylaxe

Key words

asymptomatic carotid stenosis - carotid endarterectomy - carotid artery stenting - best medical therapy - stroke prevention

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