title: [Influence of vascular surgery on baroreceptors of carotid artery and blood pressure--a literature review].
abstract: According to available literature, surgical interventions and endovascu. lar treatment of carotid artery affect the function of baroreceptors located in carotid sinus. Consequently, intraoperational and in the perioperative period abnormal pressure control is noted, as well as fixed changes in blood pressure homeostasis. The study collected and discusses and the results of the latest research on this subject. The level of severity of baroreflex dysfunction is pronounced differently depending on whether the patient was subjected to conventional endarterectomy, eversion technique endarterectomy, angioplasty or stenting with the best result in the latter. Some authors suggest that stenting procedure may cause changes in the mechanical properties of carotid artery wall and thus increases the sensitivity of the baroreflex. The literature also points to a different effect depending on whether surgery was one or both sides of a lot worse pressure control after bilateral surgery. Frequently recorded the influence of procedures on disorder of vascular heart rate. There are also reports of a significant drop in pressure after stenting and carotid angioplasty with its neurological consequences, as well as an increase in blood pressure and hyperperfusion syndrome. An important observation is the occurrence of changes in blood pressure during surgery now due to mechanical stimulation of baroreceptors, which entails the consequences in the postoperative course.
authors.affiliation: Wrovasc--Zintegrowane Centrum Medycyny, Sercowo-Naczyniowej, Wojewódzki Szpital Specjalistyczny we Wrocławiu, Ośrodek Badawczo-Rozwojowy. martapasternakswirsk@gmail.com
authors.forename: Marta
authors.initials: M
authors.lastname: Pasternak-Swirska
authors.forename: Michał
authors.initials: M
authors.lastname: Krefftk
authors.forename: Wojciech
authors.initials: W
authors.lastname: Witkiewicz
mesh_terms: D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000503:physiopathology; D001794:Blood Pressure; D002339:Carotid Arteries / Q000503:physiopathology*; D016894:Endarterectomy, Carotid / Q000009:adverse effects; D006801:Humans; D006973:Hypertension / Q000209:etiology* / Q000503:physiopathology; D007022:Hypotension / Q000209:etiology* / Q000503:physiopathology; D011311:Pressoreceptors / Q000503:physiopathology*; D015607:Stents / Q000009:adverse effects; D014656:Vascular Surgical Procedures / Q000009:adverse effects*