[Surgical treatment of bilateral occlusive-stenotic lesions of carotid arteries].
The study included 136 patients with atherosclerotic lesions of carotid arteries allocated to 3 groups depending on the state of contralateral arteries. Group1: patients with stenosis and occlusion of contralateral internal carotid artery (ICA) (n = 31); group 2: patients with bilateral carotid stenosis (n = 62); group 3: patients with unilateral ICA stenosis (n = 43). 20, 54 and 34 patients of these groups respectively were operated. A total of 139 carotid endarterectomies (CA) were performed including 11 one-step CA. Overall postoperative lethality was 2.78, 5 and 3.7% in the respective groups. It is concluded that patients with multiple lesions of aortic arch are at highest risk of ischemic stroke. Step by step CA is recommended for their treatment. Intraluminal shunting is optional.
T A
TA
Sultanaliev
A O
AO
Seĭdalin
N A
NA
Kospanov
S B
SB
Pazylov
D000368:Aged; D002343:Carotid Artery, Internal / Q000601:surgery*; D016893:Carotid Stenosis / Q000401:mortality / Q000601:surgery*; D016894:Endarterectomy, Carotid; D006801:Humans; D008297:Male; D016896:Treatment Outcome