title: [Diagnosis and treatment of chronic cerebrovascular insufficiency in carotid atherosclerotic stenosis].
abstract: Examining the outcomes of surgical and medical treatments in 485 and 315 patients with brain ischemic disease, respectively, who were followed up for 13 years identified 3 stages of disease progression. Stage 1 included early signs of carotid and vertebrobasilar insufficiencies, Stage 2 involved transient ischemic attacks, minor stroke, extensive stroke, Stage 3 comprised sequelae of stroke and recurrent strokes, slowly progressive circulatory insufficiency. The early results of surgical and medical treatment for brain ischemic disease were positive in 89 and 72%, respectively. Analysis of late results (at 1 to 13 years) showed evident advantages of surgical treatment which yielded positive results in 92.1% of cases while medical treatment provided them only in 44.4% of cases. Surgical treatment was most effective in Stage 1 brain ischemic disease.
authors.forename: V A
authors.initials: VA
authors.lastname: Khil'ko
mesh_terms: D000328:Adult; D000368:Aged; D000792:Angiography; D001161:Arteriosclerosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D002545:Brain Ischemia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D016893:Carotid Stenosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D002908:Chronic Disease; D004691:Endarterectomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents
vernacular_title: Diagnostika i lechenie khronicheskoĭ tserebrovaskuliarnoĭ nedostatochnosti pri ateroskleroticheskom stenoze sonnoĭ arterii.