[Open surgical treatment for carotid stenoses]

Roushanak Shayesteh-Kheslat1, Mario Lescan2

  • 1Klinik für Allgemeine Chirurgie, Viszeral‑, Gefäß- und Kinderchirurgie, Universitätsklinik des Saarlandes, Kirrberger Straße 100, Geb. 57, 66421, Homburg/Saar, Deutschland. Roushanak.shayesteh-kheslat@uks.eu.

Insights

Stroke is a leading cause of death globally. Open surgical therapy is a vital emergency intervention for stroke, particularly ischemic strokes caused by carotid stenosis, emphasizing its importance in an aging population.

Area of Science:

  • Neurology
  • Cardiovascular Medicine
  • Public Health

Background:

  • Stroke is the second leading cause of death worldwide, with cardiovascular diseases being the primary cause in Germany.
  • Cerebrovascular diseases, particularly ischemic strokes, account for a significant portion of mortality and morbidity.
  • Extracranial carotid stenosis is a notable cause of stroke, especially in an aging male population.

Purpose of the Study:

  • To highlight the significant mortality associated with stroke and cardiovascular diseases.
  • To emphasize the prevalence of ischemic strokes and the role of carotid stenosis.
  • To underscore the growing need for effective stroke prevention and treatment strategies.

Main Methods:

  • Analysis of mortality statistics from the German Federal Statistical Office.
  • Review of stroke etiological factors, including ischemic and carotid stenosis causes.
  • Examination of stroke risk factors related to age and gender.

Main Results:

  • Cardiovascular diseases represent 33.6% of all deaths in Germany.
  • Over 16,000 cases of cerebral infarction were recorded.
  • Approximately 80% of strokes are ischemic, with one-fifth linked to extracranial carotid stenosis.

Conclusions:

  • Open surgical therapy is a critical treatment for stroke, especially as an emergency intervention.
  • The importance of prioritizing and ensuring widespread availability of this life-saving procedure is highlighted.
  • Effective stroke management is crucial for an aging society with increasing stroke risk.
Abstract