Journal «Angiology and Vascular Surgery» • 

2010 • VOLUME 16 • №2

THERAPEUTIC DECISION-MAKING IN PATIENTS WITH STENOSES OF THE EXTRACRANIAL PORTION OF THE CAROTID ARTERIES

Bagdasaryan A.G.
Department of Vascular Surgery and Angiosexology of the Scientific Research Centre of the I.M. Sechenov Moscow Medical Academy,
N.A. Semashko Central Clinical Hospital №2 of the Open Joint-Stock Company «Russian Railways»,
Moscow, Russia

The article is dedicated to the problem concerning the choice of treatment for carotid stenoses, which is becoming yet increasingly important due to revision of the therapeutic approaches to management of stenoses of the extracranial portions of the carotid arteries over the last two decades. Presented herein is a review of the published studies and discussed are possible causes of contradictory findings obtained therein. Separately considered is an economic component of the problem involved, underlining the lack of commonly accepted and expressly defined recommendations on treatment decisions regarding revascularization of the carotid arteries. A conclusion is drawn on the necessity of developing a scientifically based therapeutic algorithm.

KEY WORDS: carotid artery stenoses, carotid endarterectomy, stenting, conservative treatment, statins, therapeutic algorithm.

P. 97

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