Features of Carotid Endarterectomy in Russia. How do we Resolution Issues?

Autor: Belov YV; Federal State Budgetary Scientific Institution 'Russian Scientific Center of Surgery named B.V. Petrovsky', Moscow, Russian Federation., Kazantsev AN; City Alexandrovskaya Hospital, Saint Petersburg, Russian Federation. Electronic address: dr.antonio.kazantsev@mail.ru., Kravchuk VN; Federal State Budgetary Educational Institution of Higher Education, Military Medical Academy named after SM. Kirov, Saint Petersburg, Russian Federation; North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russian Federation., Vinogradov RA; Research Institute Regional Clinical Hospital No. 1 named. prof. S.V. Ochapovsky , Krasnodar, Russian Federation; Department of Surgery No. 1 FPK and teaching staff of the Kuban State Medical University, Krasnodar, Russian Federation., Korotkikh AV; Clinic of cardiac surgery of the Amur State Medical Academy of the Ministry of Health of Russia, Blagoveshchensk, Russian Federation., Shmatov DV; Clinic of high medical technologies named after N.I. Pirogov St. Petersburg State University, Saint Petersburg, Russian Federation., Chernykh KP; City Alexandrovskaya Hospital, Saint Petersburg, Russian Federation., Zakeryaev AB; Research Institute Regional Clinical Hospital No. 1 named. prof. S.V. Ochapovsky , Krasnodar, Russian Federation., Sukhoruchkin PV; Research Institute Regional Clinical Hospital No. 1 named. prof. S.V. Ochapovsky , Krasnodar, Russian Federation., Matusevich VV; Research Institute Regional Clinical Hospital No. 1 named. prof. S.V. Ochapovsky , Krasnodar, Russian Federation., Yu Lider R; Kemerovo State Medical University of the Ministry of Health of the Russian Federation, Kemerovo, Russian Federation., Kazantseva EG; Kemerovo State Medical University of the Ministry of Health of the Russian Federation, Kemerovo, Russian Federation., Zakharova CL; City Alexandrovskaya Hospital, Saint Petersburg, Russian Federation., Sh Bagdavadze G; North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russian Federation., Zharova AS; North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russian Federation., Artyukhov SV; City Alexandrovskaya Hospital, Saint Petersburg, Russian Federation., Lutsenko VA; Kemerovo Regional Clinical Hospital named after S.V. Belyaeva, Kemerovo, Russian Federation., Sultanov RV; Kemerovo Regional Clinical Hospital named after S.V. Belyaeva, Kemerovo, Russian Federation.
Jazyk: angličtina
Zdroj: Current problems in cardiology [Curr Probl Cardiol] 2022 Sep; Vol. 47 (9), pp. 101272. Date of Electronic Publication: 2022 May 27.
DOI: 10.1016/j.cpcardiol.2022.101272
Abstrakt: This review of the literature discusses the solution of unresolved issues related to carotid endarterectomy in Russia: (1) A program has been created for choosing the tactics of revascularization of patients with simultaneous atherosclerotic lesions of the coronary and carotid arteries; (2) Using the methods of computer modeling, studying the genetics and morphology of restenosis, it was found that the classic carotid endarterectomy with plasty of the reconstruction zone with a patch is an unsafe type of revascularization; (3) An eversion carotid endarterectomy with transposition of the internal carotid artery over the hypoglossal nerve has been developed, which makes it possible to prevent damage to the latter during repeated carotid endarterectomy for restenosis; (4) It has been established that carotid endarterectomy is associated with a high risk of complications in patients over 75 years of age; (5) It has been proven that emergency carotid endarterectomy in the first hours after the development of a stroke is not safe because. combined with the maximum number of all non-favorable cardiovascular events; (6) 3 new types of carotid endarterectomy with carotid glomus preservation have been developed.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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