Journal «Angiology and Vascular Surgery» • 

2013 • VOLUME 19 • №2

Restenosis of carotid arteries after carotid endarterectomy: present-day aspects of the problem (non-invasive and invasive instrumental diagnosis)
Part II

Kulikova A.I.1, Tikhonova L.A.2, Bakhmetyev A.S.1

1) Chair of Hospital Surgery of the Therapeutic Department, Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia
2) Department of Ultrasonographic Diagnosis, Railroad Clinical Hospital of the railway station Saratov II (Open joint-Stock Company «Russian Railways»), Saratov, Russia

There is a worldwide progressing growth of the number of patients operated on for atherosclerotic lesions of carotid arteries. Despite good results of carotid endarterectomy some cases are associated with various complications amongst which a special place is occupied by restenosis of the reconstructed segment. The first division of the literature review was dedicated to considering the main risk factors for the development of restenosis after removal of the atherosclerotic plaque.

The second part of the review deals with the results of analysing the literature regarding diagnosis of carotid artery restenosis after carotid endarterectomy in both short- and long-term postoperative periods. Special attention is paid to the present-day non-invasive methods of examination amongst which duplex angioscanning is of significant importance. Comparative study of different types of diagnosis of restenosis of carotid arteries after carotid endarterectomy makes it possible to reveal advantages and disadvantages of a particular method. The results of instrumental diagnosis of this complication determine the subsequent treatment policy.

KEY WORDS: restenosis, carotid endarterectomy, diagnosis, duplex scanning, angiography.

P. 158

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