| Adventitial stripping for carotid sinus syndrome. | |
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MedLine Citation:
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PMID: 19135336 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Patients with a carotid sinus syndrome (CSS) suffer from spells of dizziness and loss of conscience due to an exaggerated carotid baroreflex response. Three types of the syndrome are described: cardioinhibitory, vasodepressor and a mixed form. The gold standard for treatment is insertion of a pacemaker, but this therapy may be effective only in a pure cardioinhibitory type. In contrast, surgically interrupting afferent nerves at the origin may offer relief of symptoms in all three types. The present review analyzes the results of a surgical technique termed "adventitial stripping" of the carotid sinus. Data from 130 procedures demonstrate that carotid denervation is effective in 85% of CSS cases with low complication rates. Postoperative monitoring is mandatory as transient alterations in blood pressure and heart rate may occur. |
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Authors:
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R J Toorop; M R M Scheltinga; F L Moll |
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Publication Detail:
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Type: Journal Article; Review Date: 2009-01-08 |
Journal Detail:
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Title: Annals of vascular surgery Volume: 23 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2009 Jul-Aug |
Date Detail:
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Created Date: 2009-06-22 Completed Date: 2009-08-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 538-47 Citation Subset: IM |
Affiliation:
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Department of Surgery, Máxima Medical Center, Veldhoven, The Netherlands. rtoorop@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Autonomic Denervation
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adverse effects,
methods* Baroreflex Blood Pressure Carotid Artery Diseases / complications, diagnosis, physiopathology, surgery* Carotid Sinus / innervation, surgery* Connective Tissue / surgery* Dizziness / etiology Heart Rate Humans Syncope / etiology Syndrome Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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