title: [Carotid endarterectomy or carotid stenting: optimal therapeutic decision-making for patients with carotid artery stenoses].
abstract: The work was aimed at comparatively studying the outcomes of carotid endarterectomy and carotid stenting for optimal therapeutic decision-making in patients presenting with carotid artery stenoses. We examined and treated a total of one hundred and sixty-seven patients. In the group of endarterectomy, we performed a total of 91 operations in 85 patients, and in the group of carotid stenting, a total of 87 stenting procedures were carried out on the internal carotid artery with cerebral protection in 82 patients. This was followed by analysing both short- and long-term outcomes with a follow-up period ranging from 1 year to 3 years. We examined the following postoperative parameters: «stroke + lethality», incidence of transitory ischaemic attacks, as well as the rate of craniocerebral neuropathy and acute myocardial infarction. In the remote period we evaluated the prevalence rate of the parameter «stroke + myocardial infarction + lethality», as well as restenosis recurrence. In the carotid-endarterectomy group, the predictors of unfavourable surgical outcomes were contralateral occlusion (p=0.048) and cardial pathology (p=0.0245). In the group of carotid stenting, these predictors turned out to be a heterogeneous atherosclerotic plaque with an uneven or ulcerated contour (p=0.004), and the degree of cerebrovascular insufficiency (p=0.005).
authors: A V
authors: AV
authors: Gavrilenko
authors: V A
authors: VA
authors: Sandrikov
authors: V A
authors: VA
authors: Ivanov
authors: A V
authors: AV
authors: Piven'
authors: A V
authors: AV
authors: Kuklin
authors: E F
authors: EF
authors: Dutikova
authors: G I
authors: GI
authors: Antonov
authors: É R
authors: ÉR
authors: Miklashevich
authors: I V
authors: IV
authors: Trunin
authors: S A
authors: SA
authors: Abugov
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000592:standards; D001921:Brain / Q000098:blood supply; D002545:Brain Ischemia / Q000517:prevention & control*; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D016893:Carotid Stenosis / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D002560:Cerebrovascular Circulation; D016894:Endarterectomy, Carotid / Q000009:adverse effects / Q000592:standards; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D058226:Plaque, Atherosclerotic / Q000473:pathology; D011183:Postoperative Complications / Q000401:mortality / Q000517:prevention & control; D011184:Postoperative Period; D020379:Risk Adjustment; D012307:Risk Factors; D055502:Secondary Prevention; D015607:Stents / Q000009:adverse effects / Q000592:standards; D020521:Stroke / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography