Journal «Angiology and Vascular Surgery» • 

1998 • VOLUME 4 • №2

SURGICAL TREATMENT OF CAROTID ARTERY PATHOLOGICAL TORTUOSITY, KINKING AND COILING

V.P. Yeremeyev
Department of Cardiovascular Surgery, City Clinical Hospital №1,
Arkhangelsk, Russia

The carotid arteries often undergo changes in the length and form, resulting in tortuosity, kinking and coiling whereby giving rise to ischemic disorders of cerebral circulation. The aim of the study was to analyze the results of reconstructive operations accomplished in patients with the given pathology. 94 patients (62 men and 32 women aged 27 to 67 years) with malformations of the extracranial parts of the carotid arteries underwent surgical treatment. Altogether 102 reconstructive operations were performed. Of these, 78 (76.5%) operations were carried out for pathological tortuosity and kinking and 24 (23.5%) for carotid artery coiling. In all the patients, the indications for operations were symptoms of cerebrovascular insufficiency. Seven (6.8%) operations were followed by neurologic complications: traumatic neuropathies of the cranial nerves were recorded after 6 (5.8%) operations and reversible neurologic deficit after one (0.9%) operation. One (1.05%) patient died of advancing cerebrovascular insufficiency. The study has confirmed the necessity of surgical correction of blood flow in patients with carotid artery malformations. Such correction is an effective method of the treatment and prevention of ischemic disorders of cerebrovascular circulation.

P. 82-94

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