Endarterectomy
The endarterectomy is a vascular surgical procedure in which an artery is surgically exposed and opened to eliminate bottlenecks. Such an operation is carried out in the case of constrictions as part of arteriosclerosis . By peeling off the inner wall of the vessel, internal deposits are removed, which enlarges the lumen of the blood vessel and increases the blood flow.
Often a thrombus has already formed on the constriction , which must be removed during the procedure. Such a case is called a thrombus endarterectomy (TEA).
An operation on the carotid artery ( carotid artery ) is also carotid endarterectomy called; Studies have shown that the procedure is equally safe with both local and general anesthesia . The first carotid endarterectomy was performed by Michael Ellis DeBakey et al. described in 1959. The first endarterectomy of the internal carotid artery was performed by Marie-Paule Kieny et al. performed in January 1985.
Possible complications in endarterectomy are vascular lesions, renewed vascular occlusion (rethrombosis), damage to surrounding structures such as nerves, vessels and organs, and internal bleeding.
literature
- German Academy for Anesthesiological Training (Ed.), R. Purschke: Refresher Course: Current knowledge for anesthetists . Springer Verlag, Berlin / Heidelberg 1999 ( on Google Books )
Individual evidence
- ↑ a b c endarterectomy , on amboss.miamed.de. Retrieved May 21, 2018.
- ↑ Carotid endarterectomy , on herzzentrum.immanuel.de. Retrieved May 21, 2018.
- ↑ Carotid endarterectomy safe even under general anesthesia , on aerzteblatt.de, December 2, 2008. Accessed May 21, 2018.
- ↑ a b D. Raithel: Eversion Technique: Really Non-Plus Ultra? In: H.-M. Becker, H.-J. Florek (Ed.): Complications and Risks in Vascular Surgery: Occurrence and Avoidance . Dr. Dietrich Steinkopff Verlag, Darmstadt 1999 ( on Google Books )
