KhIRURGIChESKAYa PROFILAKTIKA IShEMIChESKIKh PORAZhENIY MOZGA:KAROTIDNAYa ENDARTEREKTOMIYa I KAROTIDNOE STENTIROVANIE(VYBOR OPTIMAL'NOGO METODA LEChENIYa).


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Abstract

We have analyzed results of 169 operations that was performed for patients with carotid stenosis (86 carotid endarterectomy
and 83 carotid-artery stenting). The periprocedural rates of stroke was 3.29% in the endarterectomy group and 4.59% in the
stenting group (P=0.62). However multivariate analysis showed difference between these groups: the cerebrovascular events
in the carotid endarterectomy group were associated with contralateral occlusion+duration of previous stroke < 6 months
before procedure (p<0.05) and age > 75 years+ necessary to make temporary intraoperative shunt (P= (p<0.05). In the stenting
group the stroke was associated with type II plaque (p<0,05) and plaque ulceration (p<0,05). Detection and estimation of the
risk factors for carotid endarterectomy and carotid artery stenting reduce the perioperative complications rates and improve
the outcome of patients with carotid artery stenosis.

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Copyright (c) 2011 Gavrilenko A.V., Piven' A.V., Ivanov V.A., Kuklin A.V., Kravchenko A.A., Kochetkov V.A.

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