title: [Surgical treatment of patients with chronic cerebral ischemia due to occlusion of the common carotid arteries].
abstract: The paper contains information about surgical occlusion of the common carotid arteries--one of the causes of chronic cerebrovascular ischemia. For the period from 2003 to the present time have been treated 25 patients with a clinical picture of cerebral ischemia due to occlusion of the common carotid artery. Performed a total of 48 surgical procedures among which subclavian-external carotid and common carotid bypasses, retrograde carotid thromboendarterectomy. In 7 cases revascularization of the brain was performed as a second stage. Choice of reconstruction type based on preoperative investigation results and intraoperative data. No persistent complications or mortality were observed. Positive clinical dynamics was noted in 80% of cases. Crossability of reconstruction area at the annual catamnesis was 84%. Prosthetic vascular graft thrombosis occurred most often (up to 40%) in patients with type 2 occlusion and in the presence of severe collateral perfusion. In patients with 1st type of occlusion of the common carotid artery reconstructive surgery have shown to be a reliable and effective treatment for chronic cerebral ischemia and prevention of recurrent ischemic stroke.
authors.forename: D Iu
authors.initials: DIu
authors.lastname: Usachev
authors.forename: V A
authors.initials: VA
authors.lastname: Lukshin
authors.forename: I N
authors.initials: IN
authors.lastname: Pronin
authors.forename: A V
authors.initials: AV
authors.lastname: Shmigel'siĭ
authors.forename: A Iu
authors.initials: AIu
authors.lastname: Beliaev
authors.forename: A D
authors.initials: AD
authors.lastname: Sosnin
authors.forename: A D
authors.initials: AD
authors.lastname: Akhmedov
mesh_terms: D000328:Adult; D000368:Aged; D002545:Brain Ischemia / Q000209:etiology / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D017536:Carotid Artery, Common / Q000473:pathology / Q000601:surgery*; D016893:Carotid Stenosis / Q000150:complications / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016894:Endarterectomy, Carotid; D006801:Humans; D066298:In Vitro Techniques; D008297:Male; D008875:Middle Aged