[Carotid endarterectomy or carotid stenting: optimal therapeutic decision-making for patients with carotid artery stenoses]
| Autor: | A V, Gavrilenko, V A, Sandrikov, V A, Ivanov, A V, Piven', A V, Kuklin, E F, Dutikova, G I, Antonov, É R, Miklashevich, I V, Trunin, S A, Abugov |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Endarterectomy Carotid Time Factors Brain Kaplan-Meier Estimate Middle Aged Plaque Atherosclerotic Brain Ischemia Stroke Carotid Arteries Postoperative Complications Treatment Outcome Risk Factors Cerebrovascular Circulation Secondary Prevention Humans Carotid Stenosis Female Risk Adjustment Stents Postoperative Period Angioplasty Balloon Aged Ultrasonography |
| Zdroj: | Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery. 17(2) |
| ISSN: | 1027-6661 |
| Popis: | The work was aimed at comparatively studying the outcomes of carotid endarterectomy and carotid stenting for optimal therapeutic decision-making in patients presenting with carotid artery stenoses. We examined and treated a total of one hundred and sixty-seven patients. In the group of endarterectomy, we performed a total of 91 operations in 85 patients, and in the group of carotid stenting, a total of 87 stenting procedures were carried out on the internal carotid artery with cerebral protection in 82 patients. This was followed by analysing both short- and long-term outcomes with a follow-up period ranging from 1 year to 3 years. We examined the following postoperative parameters: «stroke + lethality», incidence of transitory ischaemic attacks, as well as the rate of craniocerebral neuropathy and acute myocardial infarction. In the remote period we evaluated the prevalence rate of the parameter «stroke + myocardial infarction + lethality», as well as restenosis recurrence. In the carotid-endarterectomy group, the predictors of unfavourable surgical outcomes were contralateral occlusion (p=0.048) and cardial pathology (p=0.0245). In the group of carotid stenting, these predictors turned out to be a heterogeneous atherosclerotic plaque with an uneven or ulcerated contour (p=0.004), and the degree of cerebrovascular insufficiency (p=0.005). |
| Databáze: | OpenAIRE |
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