An efficacy of carotid arteries repair for tortuosity combined with stenosis [Éffektivnost' rekonstruktivnykh operatsiĭ na sonnykh arteriiakh pri...
Гавриленко А. В., Абрамян А. В., Куклин А. В.
Хирургия. Журнал им. Н.И. Пирогова
Вып. 1, С. 26-32
Опубликовано: 2018
Тип ресурса: Статья
DOI:10.17116/hirurgia2018126-32
Аннотация:
AIM: To assess an efficacy of carotid arteries reconstruction in patients with internal carotid artery stenosis combined with tortuosity.MATERIAL AND METHODS: 86 patients with ICA tortuosity and stenosis were enrolled. All patients were divided into groups depending on type of surgery: group I - open carotid endarterectomy (CEA) followed by obligatory repair with synthetic patch (31 (36[%]) patients); group II - eversion CEA with ICA resection, redressation and reimplantation into own ostium (35 (40.7[%]) patients); group III - ICA replacement (20 (23.3[%]) patients). Synthetic prosthesis and autovein were used in 13 (65[%]) and 7 (35[%]) patients respectively. The study included patients with ICA stenosis ≥60[%] (any type of plaque) and any degree of cerebrovascular insufficiency or ICA stenosis <60[%] (plaque type I-III) with CVI grade II-IV combined with S- or C-tortuosity, bend or loop with blood flow velocity over 110 cm/s and its turbulence. Only 6 (7.0[%]) out of 86 patients had no clinical sig
Ключевые слова:
chronic cerebrovascular insufficiency; ICA tortuosity
aftercare; blood flow velocity; carotid artery obstruction; carotid endarterectomy; cerebrovascular accident; cerebrovascular disease; complication; diagnostic imaging; duplex Doppler ultrasonography; female; human; internal carotid artery; male; middle aged; pathology; postoperative complication; procedures; symptom assessment; treatment outcome; Aftercare; Blood Flow Velocity; Carotid Artery, Internal; Carotid Stenosis; Cerebrovascular Disorders; Endarterectomy, Carotid; Female; Humans; Male; Middle Aged; Outcome and Process Assessment (Health Care); Postoperative Complications; Stroke; Symptom Assessment; Treatment Outcome; Ultrasonography, Doppler, Duplex
Язык текста: Русский
ISSN: 2309-5628
Гавриленко А. В. Александр Васильевич 1950-
Абрамян А. В.
Куклин А. В.
Gavrilenko A. V. Aleksandr Vasilyevich 1950-
Abramyan A. V.
Kuklin A. V.
An efficacy of carotid arteries repair for tortuosity combined with stenosis [Éffektivnost' rekonstruktivnykh operatsiĭ na sonnykh arteriiakh pri sochetanii izvitosti i stenoza]
An efficacy of carotid arteries repair for tortuosity combined with stenosis [Éffektivnost' rekonstruktivnykh operatsiĭ na sonnykh arteriiakh pri...
Текст визуальный непосредственный
Хирургия. Журнал им. Н.И. Пирогова
Издательство Медиа Сфера
Вып. 1 С. 26-32
2018
Статья
chronic cerebrovascular insufficiency ICA tortuosity
aftercare blood flow velocity carotid artery obstruction carotid endarterectomy cerebrovascular accident cerebrovascular disease complication diagnostic imaging duplex Doppler ultrasonography female human internal carotid artery male middle aged pathology postoperative complication procedures symptom assessment treatment outcome Aftercare Blood Flow Velocity Carotid Artery, Internal Carotid Stenosis Cerebrovascular Disorders Endarterectomy, Carotid Female Humans Male Middle Aged Outcome and Process Assessment (Health Care) Postoperative Complications Stroke Symptom Assessment Treatment Outcome Ultrasonography, Doppler, Duplex
AIM: To assess an efficacy of carotid arteries reconstruction in patients with internal carotid artery stenosis combined with tortuosity.MATERIAL AND METHODS: 86 patients with ICA tortuosity and stenosis were enrolled. All patients were divided into groups depending on type of surgery: group I - open carotid endarterectomy (CEA) followed by obligatory repair with synthetic patch (31 (36[%]) patients); group II - eversion CEA with ICA resection, redressation and reimplantation into own ostium (35 (40.7[%]) patients); group III - ICA replacement (20 (23.3[%]) patients). Synthetic prosthesis and autovein were used in 13 (65[%]) and 7 (35[%]) patients respectively. The study included patients with ICA stenosis ≥60[%] (any type of plaque) and any degree of cerebrovascular insufficiency or ICA stenosis <60[%] (plaque type I-III) with CVI grade II-IV combined with S- or C-tortuosity, bend or loop with blood flow velocity over 110 cm/s and its turbulence. Only 6 (7.0[%]) out of 86 patients had no clinical sig