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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/07/22 08:31:45」(JST)

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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.

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 by more than 70%. 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 to open up distal segments.

Pulmonary hypertension caused by chronic thromboembolic disease (CTEPH) may be amenable to pulmonary thromboendarterectomy of the pulmonary artery. This is a highly specialized procedure.

The term atherectomy is used to describe reconstruction through a catheter.

References[edit]

^ Thompson, Jesse E., The Evolution of Surgery for the Treatment and Prevention of Stroke (retrieved on 2007-04-24)

External links[edit]

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)

This medical treatment–related article is a stub. You can help Wikipedia by expanding it.

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1. 慢性血栓塞栓性肺高血圧症：外科的治療 chronic thromboembolic pulmonary hypertension surgical treatment
2. 下肢深部静脈血栓症の診断および治療へのアプローチ approach to the diagnosis and therapy of lower extremity deep vein thrombosis
3. 慢性血栓塞栓性肺高血圧症：内科的治療 chronic thromboembolic pulmonary hypertension medical treatment
4. 慢性血栓塞栓性肺高血圧症の治療の概要 overview of the treatment of chronic thromboembolic pulmonary hypertension
5. 慢性血栓塞栓性肺高血圧症の臨床症状および診断 clinical manifestations and diagnosis of chronic thromboembolic pulmonary hypertension

English Journal

Optimal Treatment of Extracranial Carotid Artery Disease: Carotid Endarterectomy, Carotid Stenting, or Optimal Medical Therapy.

Rogers RK1, Bishu K.
Current cardiology reports.Curr Cardiol Rep.2015 Oct;17(10):636. doi: 10.1007/s11886-015-0636-2.
The optimal treatment of extracranial carotid artery disease is more controversial for asymptomatic than for symptomatic patients. Early trials comparing carotid endarterectomy to medical therapy alone demonstrated clear benefit of surgery in both symptomatic and asymptomatic populations. However, s
PMID 26277363

Physician-initiated prospective Italian Registry of carotid stenting with the C-Guard mesh-stent: the IRON-Guard registry. Rationale and design.

Setacci C1, Speziale F, De Donato G, Sirignano P, Setacci F, Capoccia L, Galzerano G, Mansour W; IRON-Guard Study Group.
The Journal of cardiovascular surgery.J Cardiovasc Surg (Torino).2015 Oct;56(5):787-91. Epub 2015 May 21.
According to the World Health Organization, every year, 5 million peoples die for stroke and another 5 million are permanently disabled. Although there are many causes of acute stroke, a common treatable cause of acute stroke is atheromatous narrowing at the carotid bifurcation. Carotid endarterecto
PMID 25996843

Prospective comparison of cognitive effects of carotid endarterectomy versus carotid stenting with flow reversal or distal filters.

Plessers M1, Van Herzeele I, Hemelsoet D, Vermassen F, Vingerhoets G.
Journal of clinical and experimental neuropsychology.J Clin Exp Neuropsychol.2015 Oct;37(8):834-41. doi: 10.1080/13803395.2015.1060952. Epub 2015 Aug 19.
OBJECTIVE: It is unclear whether carotid revascularization can improve the cognitive problems often observed in patients with carotid stenosis. We examined the presence of preoperative disturbances and the effects of different types of carotid revascularization on cognition.METHOD: Forty-six patient
PMID 26313513

Japanese Journal

Pulmonary Thromboendarterectomy for Chronic Thromboembolic Pulmonary Hypertension : A Systematic Review

Rahnavardi Mohammad,Yan Tristan D,Cao Christopher,Vallely Michael P,Bannon Paul G,Wilson Michael K
Annals of Thoracic and Cardiovascular Surgery 17(5), 435-445, 2011
… Purpose: Pulmonary thromboendarterectomy (PTE) is a treatment option for patients with chronic thromboembolic pulmonary hypertension (CTEPH). …
NAID 130000728111

Recurrent Subacute In-stent Restenosis After Carotid Artery Stenting due to Plaque Protrusion : Case Report

TAKIGAWA Tomoji,MATSUMARU Yuji,KUBO Takeshi,FUKUHARA Noriaki,HAYAKAWA Mikito,USUI Masaaki
Neurologia medico-chirurgica = 神経外科 49(9), 413-417, 2009-09-15
A 70-year-old male presented with transient ischemic attacks manifesting as right hemiparesis and motor aphasia due to severe left cervical internal carotid artery stenosis. Carotid artery stenting (C …
NAID 10025948630

慢性肺血栓塞栓症術後PCPS導入症例の検討

佐藤雅人,安藤太三,山下満,樋口義郎,近藤弘史,秋田淳年,栃井将人,石田理子,金子完,星野竜,高木靖
静脈学 20(2), 37-42, 2009-06-04
NAID 10024919100

Related Pictures

★リンクテーブル★

リンク元	「血栓内膜摘除術」「血栓内膜摘除」

「血栓内膜摘除術」

Endarterectomy
	Intervention
ICD-9-CM	38.1
MeSH	D004691

　　[★]

英: thromboendarterectomy thrombo endarterectomy, thrombendarterectomy, TEA
同: 動脈内膜切除術 endarterectomy

[show details]

血栓内膜摘除術 : 約 115,000 件
血栓内膜剥離術 : 約 42,200 件
血栓内膜切除術 : 約 10,900 件
血栓内膜摘出術 : 約 2,910 件

en

thromboendarterectomy : 約 46,500 件
thrombendarterectomy : 約 6,280 件

「血栓内膜摘除」

　　[★]

英: thromboendarterectomy
関: 動脈内膜切除

[1] Thompson, Jesse E., The Evolution of Surgery for the Treatment and Prevention of Stroke (retrieved on 2007-04-24)

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案内

thromboendarterectomy