Possibility of endovascular correction of defects after carotid endarterectomy

Bazylev V.V., Shmatkov M.G., Morozov Z.A.

Federal Centre for Cardiovascular Surgery under the Russian Federation Public Health Ministry, Penza, Russia

Carotid endarterectomy is a method of choice in treatment of patients with pronounced atherosclerotic lesions of carotid arteries. However, the incidence rate of perioperative complications according to the findings of some authors varies within the limits of 1.5-9%, with up to 60% of unfavourable cerebrovascular events being associated with residual defects such as intimal detachment, kinks, lesions from vascular clamps, etc. The incidence of forced secondary interventions amounts to 2.3-16%, with the complications rate equalling 9-17%. Surgical correction of technical defects is traumatic and associated with high risk. Stenting of carotid arteries as a faster and less invasive method may be an alternative. Taking into consideration small world experience, we have found it appropriate to present two case reports of successful endovascular correction of intimal detachment following carotid endarterectomy previously performed.

KEY WORDS: carotid endarterectomy, residual defects, intimal detachment, carotid artery stenting.

P. 114

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