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  • Title: [Modification of non-hemispheric symptoms by carotid endarterectomy].
    Author: Raithel D.
    Journal: Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir; 1990; ():577-80. PubMed ID: 1983613.
    Abstract:
    In case of multi-locular supra-aortic lesions the correction of a hemodynamic carotid stenosis has priority over any reconstruction of another supra-aortic lesion. Thus carotid endarterectomy leads to an improvement of the global cerebral perfusion. Patients with a classical vertebro-basilar insufficiency profit most by these operations. A subclavian or vertebral reconstruction or PTA is indicated only if the patient is not symptom-free after the carotid endarterectomy.
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