Journal «Angiology and Vascular Surgery» • 

2010 • VOLUME 16 • №4

ASSESSING EFFICACY AND RISK FACTORS OF CAROTID ENDARTERECTOMY AND CAROTID STENTING IN PATIENTS WITH SYMPTOMATIC STENOSES OF INTERNAL CAROTID ARTERIES IN EARLY POSTOPERATIVE PERIOD

Gavrilenko A.V.1, Ivanov V.V.2, Piven A.V.1, Kouklin A.V.1, Antonov G.I.2, Bobkov Yu.A.2, Trunin I.V.2, Abutov S.A.1
1 – В.V. Petrovsky Russian Research Centre of Surgery under the Russian Academy of Medical Sciences,
2 – Federal State Facility «3rd Central Military Clinical Hospital named after A.A. Vishnevsky of the Ministry of Defence of the Russian Federation», Centre for Roentgenosurgical Methods of Diagnosis and Treatment,
Moscow, City of Krasnogorsk, Russia

The present work was aimed at comparative assessment of efficacy and risk factors of carotid endarterectomy and carotid stenting in patients suffering from symptomatic stenoses of the internal carotid arteries, with due regard for the degree of the accompanying cardiac pathology, the presence of contralateral occlusion, and severity of chronic cerebrovascular insufficiency. We examined and treated a total of 142 patients diagnosed with stenoses of the internal carotid arteries and symptoms of chronic cerebrovascular insufficiency. In the cohort of those subjected to carotid endarterectomy we performed a total of 76 operations in 73 patients, and in the group of carotid stenting 71 operations of stenting of the internal carotid artery with cerebral protection in 69 patients. Postoperatively we assessed the following parameters: «stroke+lethality», incidence of transitory ischaemi с attacks, incidence rate of cerebrovascular neuropathy, and acute myocardial infarction. In the carotid endarterectomy group, we revealed increased risk for the development of neuropathy of the craniocerebral nerves (OR=0.0564, 95% CI 0.9953, P=0.049). In the group of stenting, we revealed increased risk for the development of transitory ischaemicj.

KEY WORDS: carotid angioplasty and stenting, carotid endarterectomy, patients with high risk for carotid endarterectomy, contralateral occlusion of the internal carotid artery.

P. 125-129

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