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Carotisstenosen Und -Verschlüsse: Aktuelle Standortbestimmung in Der Diagnostik, Konservativen Und Chirurgischen Therapie

Carotisstenosen Und -Verschlüsse: Aktuelle Standortbestimmung in Der Diagnostik, Konservativen Und Chirurgischen Therapie

          
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About the Book

Erfahrungen mit einem hochauflosenden Real-Time-B-Scan (Biosound) mit einem punktuell gepulsten Doppler werden berichtet. Dieser Duplex-Scanner flihrt zu einer genauen Lokalisa- tion umschriebener GefaBwandveranderungen an der Vor- der-, Rlick- oder Sei tenwand des GefaBes. Die Art und die GroBe der Veranderungen sind feststellbar. Unter- schiedliche Kalzifikationsgrade und Oberflachenstruktu- ren mit der wichtigen Diagnose des ulcer ierten Plaque sind moglich. Verschllisse konnen sichtbar dargestellt werden und sind auch durch das fehlende Doppler-Ant- wortsignal in diesem Bereich zu erkennen. An einer Stichprobe von 53 Untersuchungen ergab sich eine Treff- sicherheit zu der Angiographie von etwa 80%. Bei gerin- gen GefaBwandveranderungen ist die Methode der Angio- graphie liberlegen. Tabe11e 1. Verg1eich der u1trascha11-dopp1erarteriographischen (A) und rontgeno1ogischen(B) Befunde bei 53 Untersuchungen der Arteria carotis communis et interna. Es fanden sich bei 42 GefaBuntersuchungen ( 80%) gleich1autende U1trascha11- und Rontgenbefunde. Die 11 zum Tei1 nur 1eicht divergierenden Befunde vertei1en sich wie fo1gt (N = Anzah1 der Untersuchungen): B Stenose Stenose Versch1uB 50%: !: j Stenose 3 0 50% 2 2 - N = 4 Versch1uB 3 1 - N = 4 48 Abb. la b Abb. la, b. Carotisbifurkation im Langs- (a) und Quer- (b) bild mit aneurysmatischer Aufwei- tung der A. carotis interna und 0,5 cm langen kalzifizier- ten (Hard) Plaque mit 3mm Lumenprominenz Abb. 2. Nichtkalzifizierter (Soft) Plaque an der dorsalen Wandung der A.


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Product Details
  • ISBN-13: 9783540130307
  • Publisher: Springer
  • Publisher Imprint: Springer
  • Height: 244 mm
  • No of Pages: 164
  • Series Title: German
  • Sub Title: Aktuelle Standortbestimmung in Der Diagnostik, Konservativen Und Chirurgischen Therapie
  • Width: 170 mm
  • ISBN-10: 3540130306
  • Publisher Date: 02 Nov 1983
  • Binding: Paperback
  • Language: German
  • Returnable: Y
  • Spine Width: 10 mm
  • Weight: 299 gr


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