Postoperative Blutdruckschwankungen nach Karotisendarteriektomie: Implikationen der verschiedenen Rekonstruktionstechniken
BackgroundPostoperative blood pressure alterations after carotid endarterectomy (CEA) are associated with an increased risk of morbidity and mortality.ObjectiveTo outline the influence of the two commonly used surgical reconstruction techniques, conventional CEA with patch plasty (C-CEA) and eversio...
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| Hauptverfasser: | , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Deutsch |
| Veröffentlicht: |
[February 2018]
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| In: |
Der Chirurg
Year: 2017, Jahrgang: 89, Heft: 2, Pages: 123-130 |
| ISSN: | 1433-0385 |
| DOI: | 10.1007/s00104-017-0502-4 |
| Online-Zugang: | Verlag, Volltext: https://doi.org/10.1007/s00104-017-0502-4
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| Verfasserangaben: | J.A. Celi de la Torre, D.A. Skrypnik, R.A. Vinogradov, D. Böckler, S. Demirel |
| Zusammenfassung: | BackgroundPostoperative blood pressure alterations after carotid endarterectomy (CEA) are associated with an increased risk of morbidity and mortality.ObjectiveTo outline the influence of the two commonly used surgical reconstruction techniques, conventional CEA with patch plasty (C-CEA) and eversion CEA (E-CEA), as well as the innovative carotid sinus-preserving eversion CEA (SP-E-CEA) technique on postoperative hemodynamics, taking the current scientific knowledge into consideration.MethodsAssessment of the current clinical and scientific evidence on each operative technique found in the PubMed (NLM) database ranging from 1974 to 2017, excluding case reports.ResultsA total of 34 relevant papers as well as 1 meta-analysis, which scientifically dealt with the described topic were identified. The results of the studies and the meta-analysis showed that E‑CEA correlates with an impairment of local baroreceptor functions as well as with an elevated need for vasodilators in the early postoperative phase, whereas C‑CEA and SP-E-CEA seem to have a more favorable effect on the postoperative blood pressure.ConclusionThe CEA technique influences the postoperative blood pressure regulation, irrespective of the operative technique used. Accordingly, close blood pressure monitoring is recommended at least during the postoperative hospital stay. Further studies are mandatory to evaluate the importance of SP-E-CEA as an alternative to the classical E‑CEA. |
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| Beschreibung: | First Online: 25 August 2017 Gesehen am 03.04.2019 |
| Beschreibung: | Online Resource |
| ISSN: | 1433-0385 |
| DOI: | 10.1007/s00104-017-0502-4 |