Journal «Angiology and Vascular Surgery» • 

2019 • VOLUME 25 • №2

Early carotid endarterectomy in patients after endured acute cerebral circulation impairment

Gavrilenko A.V.1,2, Kuklin A.V.1, Khripkov A.S.3

1) Vascular Surgery Department, Russian Research Centre of Surgery named after Academician B.V. Petrovsky,
2) First Moscow State Medical University named after I.M. Sechenov under the RF Ministry of Public Health, Moscow,
3) Regional Vascular Centre, Krasnogorsk Municipal Hospital No 1, Kasnogorsk, Moscow Region, Russia

Recent years have witnessed a series of studies dedicated to assessment of optimal terms of performing carotid endarterectomy (CEA) after sustained acute cerebral circulatory impairment (ACCI). However, there is no commonly accepted opinion concerning feasibility and safety of early CEA in «symptomatic» patients. The 2015 Guidelines of the American Heart Association suggest that surgical intervention should be performed within the shortest terms or during 2 weeks after a neurological event (class IIb, level B evidence).

In the presented herein review of literature most authors demonstrated safety and efficacy of performing early CEA after endured ACCI. However, further prospective, randomized studies are needed in order to work out new standards of examination and to determine optimal surgical policy.

KEY WORDS: early carotid endarterectomy, acute cerebral circulation impairment.

P. 193

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