Journal «Angiology and Vascular Surgery» • 

2011 • VOLUME 17 • №2

Peculiarities of glomus-sparing eversion carotid endarterectomy

Antsupov K.A., Lavrentiev A.V., Vinogradov O.A., Dadashov S.A., Marynich A.A.
Department of Vascular Surgery Clinic of Cardiovascular and General Surgery Course of Emergency Surgery at the Surgery Chair of the Faculty of Advanced Medical Training State Educational Facility of Higher Professional Education «I.M. Sechenov Moscow Medical Academy»,
Moscow, Russia

Described in the article are technical peculiarities of performing eversion carotid endarterectomy with the preservation of the structure of the carotid glomus.

Atherosclerosis of the carotid artery bifurcation appears to influence the onset and course of arterial hypertension. An important role therein is played by baroreflex and glomus dysfunction. The operation of carotid endarterectomy decreases the background arterial pressure but in a series of cases, with destroyed structures of the carotid glomus, induces alterations in the pattern of arterial hypertension with the development of hyper- and hypotensive crises.

The authors have worked out an operation of glomus-sparing eversion carotid endarterectomy, combining advantages of the eversion technique and prevention of glomus dysfunction.

The outcomes of 25 operations demonstrated a positive antihypertensive effect of the new technique, with no systemic haemodynamic impairments observed in the patients after surgery.

KEY WORDS: glomus-sparing eversion carotid endarterectomy, carotid artery atherosclerosis, arterial hypertension, surgical management.

P. 119-123

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