COMPARATIVE CHARACTERISTICS OF THE OPEN AND ENDOVASCULAR METHODS OF TREATMENT FOR CAROTID ARTERY STENOSES

Krotovskii G.S., Uchkin I.G., Shugushev Z.Kh., Zudin A.M., Bagdasaryan A.G.
Department of Vascular Surgery and Angiosexology of the Scientific Research Centre, N.A. Semashko Central Clinical Hospital No 2 Open Joint-Stock Company «Russian Railways» I.M. Sechenov Moscow Medical Academy,
Moscow, Russia

The article is dedicated to the problem concerning treatment for stenoses of the extracranial portions of carotid arteries. From March 2004 to November 2009 at the Department of Vascular Surgery No 2 of the N. A. Semashko Central Clinical Hospital No 2 we treated a total of 364 patients presenting with stenotic lesions of the extracranial portion of the carotid arteries. Of these, 176 patients underwent revascularization of the carotid basin: 120 patients endured open carotid endarterectomy (CEAE), 56 patients sustained carotid angioplasty and stenting (CAS), with a total of 128 CEAE and 67 CAS interventions performed. The following conclusion was made: with high skill of surgeons and broad experience in carrying out revascularization of the carotid basin, the CEAE and CAS procedures possess comparable efficacy and safety with CEAE possessing reliable advantage in terms of the parameters of the patient’s quality of life.

KEY WORDS: stenosis, carotid endarterectomy, carotid angioplasty, revascularization, surgery.

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