血栓内膜摘除術 TEA
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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 |
Intervention |
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 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.
See also[edit]
- Pulmonary thromboendarterectomy
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)
Health science – Medicine · Surgery · Vascular surgery and other vascular procedures (ICD-9-CM V3 38–39, ICD-10-PCS 03–6)
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Incision, excision,
and occlusion
of vessels |
Peripheral arterial occlusive disease: Balloon embolectomy · Thrombectomy
Carotid stenosis: Endarterectomy (Carotid endarterectomy)
Varicose veins: Ambulatory phlebectomy · Laser ablation · Sclerotherapy · Vein stripping
Venous cutdown
Temporal artery biopsy
Arteriotomy · Phlebotomy
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Other operations
on vessels |
Shunt/bypass
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Peripheral arterial occlusive disease: Peripheral arterial bypass surgery
Portal hypertension: Transjugular intrahepatic portosystemic shunt (TIPS) · Distal splenorenal shunt procedure
Vascular grafting (Human umbilical vein graft)
Blalock–Taussig shunt
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Repair
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Aortic aneurysm / dissection: Open AAA repair · Endoluminal AAA repair (EVAR)
Peripheral arterial occlusive disease: Angioplasty with/out Stenting
Atherectomy
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Auxiliary to
heart surgery
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Cardiopulmonary bypass · Cardioplegia · Extracorporeal membrane oxygenation
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Other
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Carotid stenosis: Carotid stenting
Hemodialysis/Hemofiltration · Revascularization
Glomectomy
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Medical imaging |
Angiography (Digital subtraction angiography, Cerebral angiography, Aortography, Fluorescein angiography, Radionuclide angiography, Magnetic resonance angiography)
Venography (Portography) · Impedance phlebography
Intravascular ultrasound · Carotid ultrasonography
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Other diagnostic |
Angioscopy · Ankle brachial pressure index · Tilt table test
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anat (a:h/u/t/a/l,v:h/u/t/a/l)/phys/devp/cell/prot
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noco/syva/cong/lyvd/tumr, sysi/epon, injr
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proc, drug (C2s+n/3/4/5/7/8/9)
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UpToDate Contents
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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
- 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 Links
- thromboendarterectomy /throm·bo·end·ar·ter·ec·to·my/ (-end″ahr-ter-ek´tah-me) excision of an obstructing thrombus together with a portion of the inner lining of the obstructed artery. throm·bo·end·ar·ter·ec·to·my (thr m b-n där-t-r k t-m)
- thromboendarterectomy throm·bo·end·ar·ter·ec·to·my (thrŏm'bō-ěn'där-tə-rěk'tə-mē) n. An operation to remove a thrombus along with the intima and atheromatous material from an occluded artery.
Related Pictures
![thromboendarterectomy in an 80-year-old](https://1mg.info/0/9/l/2291.jpg)
![Surgical Classification of Thromboembolic](https://1mg.info/0/9/l/2292.jpg)
![Pulmonary thromboendarterectomy](https://1mg.info/0/9/l/2293.jpg)
![Pulmonary thromboendarterectomy IMAGES](https://1mg.info/0/9/l/2294.jpg)
![thromboendarterectomy considerable](https://1mg.info/0/9/l/2295.jpg)
★リンクテーブル★
[★]
- 英
- thromboendarterectomy thrombo endarterectomy, thrombendarterectomy, TEA
- 同
- 動脈内膜切除術 endarterectomy
[show details]
[★]
- 英
- thromboendarterectomy
- 関
- 動脈内膜切除