scholarly journals Surgical Treatment of Post-Carotid Endarterectomy Carotid Pseudoaneurysm

2020 ◽  
Vol 46 ◽  
pp. 12-13
Author(s):  
Alice Lopes ◽  
Miguel Lemos Gomes ◽  
Gonçalo Sobrinho ◽  
Luís Mendes Pedro
2019 ◽  
Vol 72 (5) ◽  
pp. 923-927
Author(s):  
Roman I. Trutiak

Introduction: Stroke is a big social problem. The expediency of surgical treatment is justified as the chances for complete reconvalescence of the neurological deficiency increase. The aim: To analyze available sources of scientific information on the terms of surgical treatment of patients with acute neurological deficiency. Materials and methods: We analyzed 41 English publications in PubMed for 5 years from 2012 to 2017, with the keywords “urgent carotid endarterectomy” and “early carotid endarterectomy”. Conclusions: In the classic course of stroke or TIA, the best treatment results are obtained when the CEA is performed 3-7 days after the marker event. CEA should be performed as soon as possible to restore brain revascularization and prevent the fatal progression of the neurological deficiency after crescendo TIA or stroke-in-evolution, despite the fact that the risk of complications and disability after surgery may be higher than 6%.


Author(s):  
A. V. Lysenko ◽  
Yu. V. Belov ◽  
A. I. Katkov ◽  
R. N. Komarov ◽  
A. V. Stonogin

2014 ◽  
Vol 42 (1) ◽  
pp. 9-13
Author(s):  
Masaaki UNO ◽  
Kimihiko YOKOSUKA ◽  
Hiroyuki TOI ◽  
Noriko MATSUMOTO ◽  
Kazumi KIMURA

Neurosurgery ◽  
1983 ◽  
Vol 13 (6) ◽  
pp. 718-723 ◽  
Author(s):  
Christopher M. Loftus ◽  
Donald O. Quest

Abstract The authors discuss the indications for both elective and emergency carotid endarterectomy. Reports on the surgical treatment of asymptomatic bruit and contralateral carotid stenosis are reviewed. The results of endarterectomy for symptomatic carotid disease, including transient ischemic attacks, acute neurological deficit, and complete carotid occlusion, are discussed. The complications and risks of carotid surgery are also presented.


2019 ◽  
Vol 1 (16) ◽  
pp. 13-16
Author(s):  
B. A. Shadymov ◽  
M. I. Neimark ◽  
V. V. Shmelyov ◽  
A. A. Shaidurov

The article considers the question of the appropriateness of the use of the drug based on succinic acid in the surgical treatment of atherosclerotic occlusion of the carotid artery, for the prevention of neurological complications in the postoperative period. A comparative characteristic of the obtained data of oxidative, antioxidant statuses, as well as markers of neuronal damage in two groups was carried out. The results suggest that the use of cytoflavin during the stages of surgical treatment reduces the number of neurological disorders.


2021 ◽  
Vol 14 (1) ◽  
pp. 90
Author(s):  
A.V. Lysenko ◽  
P.A. Karavaikin ◽  
G.I. Salagaev ◽  
Yu.V. Belov

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Long Yan ◽  
Zhe Wang ◽  
Zhanchuan Liu ◽  
Haoyuan Yin ◽  
Xuan Chen

Objectives. The optimal treatment choice of chronic carotid artery occlusion (CAO) remains inconclusive. This study was aimed at exploring the safety and effectiveness of hybrid surgery in the treatment of CAO and at determining predictors for successful recanalization. Methods. In this study, we enrolled 37 patients with CAO who underwent hybrid surgical treatment during the period 2016–2018. We extracted and analyzed patients’ demographic data, disease characteristics, surgical success rates, perioperative complications, and prognosis. Results. A total of 37 patients with symptomatic CAO underwent hybrid surgical treatment. Thirty cases (81.1%) were successfully recanalized, while seven were not. Blood reflux after carotid endarterectomy occurred in 18 patients (60%) of the success group and 1 (14.3%) of the failure group (OR, 9.0; 95% CI, 0.95-54.5; P = 0.042 ). The rate of distal ICA reconstruction below the clinoid segment was 20 (66.7%) in the success group and 1 (14.3%) in the failure group (OR, 12.0; 95% CI, 1.3-113.7; P = 0.029 ). In patients with successful recanalization, no ischemic events occurred after surgery and during follow-up, but restenosis of >50% was found in one case. In the failure group, two patients experienced recurrent ischemic events during follow-up. Perfusion imaging in successful recanalization cases is significantly improved, preoperative I/C ratio was 1.44 (IQR 1.27-1.55), and postoperative 1.12 (IQR 1.05-1.23). National Institutes of Health Stroke Scale (NIHSS) score of successful recanalization cases was 5.35 (2.26) before surgery and 2.03 (1.40) at 6 months ( P < 0.01 ). Conclusion. Hybrid surgery might be a safe and effective way to treat CAO. Distal internal carotid artery reconstruction to below the clinoid segment and blood reflux after carotid endarterectomy are predictors of successful recanalization.


2017 ◽  
Vol 43 ◽  
pp. 347-350 ◽  
Author(s):  
Pierfrancesco Veroux ◽  
Alessia Giaquinta ◽  
Vincenzo Ardita ◽  
Giuseppe D'Arrigo ◽  
Ester De Marco ◽  
...  

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