title: Peculiarities of glomus-sparing eversion carotid endarterectomy.
abstract: Described in the article are technical peculiarities of performing eversion carotid endarterectomy with the preservation of the structure of the carotid glomus. Atherosclerosis of the carotid artery bifurcation appears to influence the onset and course of arterial hypertension. An important role therein is played by barorefl ex and glomus dysfunction. The operation of carotid endarterectomy decreases the background arterial pressure but in a series of cases, with destroyed structures of the carotid glomus, induces alterations in the pattern of arterial hypertension with the development of hyper- and hypotensive crises. The authors have worked out an operation of glomus-sparing eversion carotid endarterectomy, combining advantages of the eversion technique and prevention of glomus dysfunction. The outcomes of 25 operations demonstrated a positive antihypertensive eff ect of the new technique, with no systemic haemodynamic impairments observed in the patients after surgery.
authors: Department of Vascular Surgery, I.M. Sechenov Moscow Medical Academy, Moscow, Russia.
authors: K A
authors: KA
authors: Antsupov
authors: A V
authors: AV
authors: Lavrentiev
authors: O A
authors: OA
authors: Vinogradov
authors: S A
authors: SA
authors: Dadashov
authors: A A
authors: AA
authors: Marynich
mesh_terms: D017704:Baroreflex; D002339:Carotid Arteries / Q000473:pathology / Q000601:surgery; D002340:Carotid Artery Diseases / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D002344:Carotid Body / Q000503:physiopathology*; D016894:Endarterectomy, Carotid / Q000009:adverse effects / Q000379:methods / Q000592:standards; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D007022:Hypotension / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D007431:Intraoperative Complications / Q000517:prevention & control*; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D012008:Recurrence; D016896:Treatment Outcome