[Minor stenosis of carotid arteries: differential approach in diagnosis and surgical treatment].
The results of treatment of 161 patients with atherosclerotic small degree stenoses of carotid arteries (up to 50% of diameter) were analyzed. From them 67 patients underwent operations for chronic cerebro-vascular failure and 11 patients--for acute cerebro-vascular failure. 31 patients, who had contraindications for surgery or refused it, plasmapheresis procedures were carried on, 52 patients with asymptomatic carotid arteries' disease underwent conservative treatment. On the base of the results of examination and late results of treatment it is shown valid to recommend carotid endarterectomy as a prophylactic measure in acute cerebrovascular failure in asymptomatic patients who have morphologically unstable plaques of carotid arteries. If there are general contraindications for carotid endarterectomy, with the aim of prophylaxis of cerebrovascular failure the procedures of plasmapheresis for alteration of morphologic structure of plaques are advisable.
Pekarskiĭ
V V
VV
Shipulin
V M
VM
Sukhodolo
I V
IV
Dudko
V A
VA
Plotnikov
M P
MP
Lebed'ko
V I
VI
Sokolov
A A
AA
Shvera
I Iu
IIu
Vorozhtsova
I N
IN
D000328:Adult; D000368:Aged; D001161:Arteriosclerosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D016893:Carotid Stenosis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D003657:Decision Making; D016894:Endarterectomy, Carotid / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged
Malye stenozy sonnykh arteriĭ: differentsial'nyĭ podkhod v diagnostike i khirurgicheskom lechenii.