血管内膜切除術
WordNet
- surgical removal of the inner lining of an artery that is clogged with atherosclerosis
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/09/22 21:52:57」(JST)
[Wiki en表示]
Endarterectomy |
Intervention |
Carotid endarterectomy.
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ICD-9-CM |
38.1 |
MeSH |
D004691 |
Endarterectomy is a surgical procedure to remove the atheromatous plaque material, or blockage, in the lining of an artery constricted by the buildup of deposits. It is carried out by separating the plaque from the arterial wall.
It was first performed on a superficial femoral artery in 1946 by the Portuguese surgeon João Cid dos Santos at the University of Lisbon. In 1951, E. J. Wylie, an American, performed it on the abdominal aorta. The first successful reconstruction of the carotid artery was performed by Carrea, Molins, and Murphy in Argentina, later in the same year.[1]
The procedure is widely used on the carotid artery of the neck as a way to reduce the risk of stroke, particularly when the carotid artery is narrowed. A carotid endarterectomy may itself cause a stroke at the time of operation.
Endarterectomy is also used as a supplement to a vein bypass graft at the sites of surgical anastomosis.
Pulmonary hypertension caused by chronic thromboembolic disease (CTEPH) may be amenable to pulmonary thromboendarterectomy of the pulmonary artery. This is a highly specialized procedure.
See also
- Pulmonary thromboendarterectomy
References
- ^ Thompson, Jesse E. (1996). "The Evolution of Surgery for the Treatment and Prevention of Stroke". Stroke 27 (8): 1427–1434. doi:10.1161/01.STR.27.8.1427. PMID 8711815. Retrieved June 6, 2014.
External links
- Endarterectomy at the US National Library of Medicine Medical Subject Headings (MeSH)
- Connolly, John E. and Price, Thaine, Aortoiliac Endarterectomy: A Lost Art?, 2005 (abstract)
- Healthcare science
- Medicine
- Surgery
- Vascular surgery and other vascular procedures
- ICD-9-CM V3 38–39, ICD-10-PCS 03–6
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Vascular and
Endovascular surgery |
Peripheral artery disease: |
- Vascular bypass
- Embolectomy/Thrombectomy
- Angioplasty with or without Stenting
- Atherectomy
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Carotid stenosis: |
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Venous disease |
- Ambulatory phlebectomy
- Laser surgery
- Sclerotherapy
- Vein stripping
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Arterial and Venous Access |
- Venous cutdown
- Arteriotomy
- Phlebotomy
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Hemodialysis Access |
- AV Fistula and Graft
- Hemodialysis/Hemofiltration
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Aortic aneurysm / dissection: |
- Endovascular aneurysm repair (EVAR)
- Open aortic surgery
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Auxiliary to
cardiac surgery |
- Cardiopulmonary bypass
- Cardioplegia
- Extracorporeal membrane oxygenation
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Other |
- Revascularization
- Glomectomy
- First rib resection
- Seldinger technique
- Vascular snare
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Medical imaging |
Angiography: |
- Digital subtraction angiography
- Cerebral angiography
- Aortography
- Fluorescein angiography
- Radionuclide angiography
- Magnetic resonance angiography
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Venography: |
- Portography
- Impedance phlebography
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Ultrasound: |
- Intravascular ultrasound
- Carotid ultrasonography
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Other diagnostic |
- Angioscopy
- Ankle brachial pressure index
- Tilt table test
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Index of the circulatory system
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Description |
- Anatomy
- Arteries
- head and neck
- arms
- chest
- abdomen
- legs
- Veins
- head and neck
- arms
- chest
- abdomen and pelvis
- legs
- Development
- Cells
- Physiology
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Disease |
- Congenital
- Neoplasms and cancer
- Lymphatic vessels
- Injury
- Vasculitis
- Other
- Symptoms and signs
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Treatment |
- Procedures
- Drugs
- beta blockers
- channel blockers
- diuretics
- nonsympatholytic vasodilatory antihypertensives
- peripheral vasodilators
- renin–angiotensin system
- sympatholytic antihypertensives
- vasoprotectives
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UpToDate Contents
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English Journal
- Brain diffusion changes in unilateral carotid artery stenosis with non-shunt endarterectomy: Correlation with white matter lesions.
- Sahin N1, Solak A2, Genc B2, Akpinar MB3, Kulu U4, Cengiz H5.
- Clinical neurology and neurosurgery.Clin Neurol Neurosurg.2015 Jun;133:24-9. doi: 10.1016/j.clineuro.2015.03.002. Epub 2015 Mar 16.
- OBJECTIVE: Carotid stenosis is associated with hemodynamic cerebral ischemia. Diffusion-weighted MR imaging allows for the assessment of changes related to alterations in tissue integrity. The aim of this study was to investigate (a) whether white matter lesions (WML) and apparent diffusion coeffici
- PMID 25837237
- Content, accuracy and completeness of patient consent in a regional vascular surgery unit.
- McGrogan D1, Mark D, Lee B, O'Donnell ME.
- Irish journal of medical science.Ir J Med Sci.2015 Jun;184(2):521-9. doi: 10.1007/s11845-014-1160-x. Epub 2014 Jun 19.
- OBJECTIVE: Although the General Medical Council has published guidelines for procedural consent, there is evidence to suggest that deficiencies still occur in completion demographics, documentation of procedural risks and information regarding alternative therapies. We assessed the accuracy and comp
- PMID 24942206
- Cross-flow determination by transcranial Doppler predicts clamping ischemia in patients undergoing carotid endarterectomy.
- Attigah N1, Demirel S, Ringleb P, Hinz U, Hyhlik-Dürr A, Böckler D.
- The Journal of cardiovascular surgery.J Cardiovasc Surg (Torino).2015 Jun;56(3):417-22. Epub 2013 Jul 18.
- AIM: Aim of the paper was to assess the reliability of preoperative cross-flow determination by transcranial Doppler measurement (TCD) to detect clamping ischemia in patients undergoing carotid endarterectomy with selective shunting.METHODS: Retrospective one-to-one matched-pair analysis of 72 patie
- PMID 23867860
Japanese Journal
- 頸動脈疾患のbest practiceを求めて : ACST-2の背景
- Results of Tailored CAS in Patients with High Risk Carotid Stenosis for CEA
- Clinical Outcome of Surgical Endarterectomy for Common Femoral Artery Occlusive Disease
Related Links
- Endarterectomy is a surgical procedure to remove the atheromatous plaque material, or blockage, in the lining of an artery constricted by the buildup of soft/ hardening deposits. It is carried out by separating the plaque from the arterial wall.
- Endarterectomy is the general term for the surgical removal of plaque from an artery that has become narrowed or blocked. Your arteries are normally smooth and unobstructed on the inside but they can become blocked through a process ...
Related Pictures
★リンクテーブル★
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- 英
- thromboendarterectomy thrombo endarterectomy, thrombendarterectomy, TEA
- 同
- 動脈内膜切除術 endarterectomy
[show details]
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- 英
- endarterectomy
- 関
- 動脈内膜摘除、動脈内膜切除術、血栓内膜摘除
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- 英
- endarterectomy
- 関
- 動脈内膜切除、動脈内膜切除術
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- 英
- endarterectomy
- 関
- 動脈内膜切除、動脈内膜摘除
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血栓内膜摘除術 TEA