5. A Retrospective Review Of The Treatment Performed For Stenosing Lesions Of The Internal Carotid Arteries, Over 5 Years In The Conditions Of Jsc Nscs

Abstract

Prevention and treatment of acute disorders of cerebral circulation is the most important medical and social problem, is of great socio-economic importance. For the prevention of ischemic stroke, carotid endarterectomy has been used since 1954 (Eastcott H. H., 1954; DeBakey M. E., 1975), and carotid angioplasty and stenting since the mid-80s. (Kerber R., 1980). Despite a significant number of randomized multicenter comparative studies of the results of carotid endarterectomy and carotid stenting SAPPHIRE, CREST, CARESS, EVA-3S, SPACE, the issue of choosing the optimal method of surgical treatment of patients with carotid artery stenosis is currently not completely resolved. The work is based on the analysis of the results of surgical treatment of 113 patients with stenosis of the carotid arteries who were treated at the A. N. Syzganov from 2015 to June 2020. The patients were divided into two main groups according to the method of treatment. In the group of carotid endarterectomy, operations were performed in 58 patients, in the group of carotid stenting - 55 operations of stenting of the internal carotid artery with cerebral protection in patients. Thus, the statistical analysis included the results of 113 cases of primary surgery. In the Conclusion of the work carried out, recommendations were developed for the intro-duction and selection of tactics for the introduction of patients with cerebrovascular atherosclerosis.