INTERNAL CAROTID ARTERY SURGERY IN REGIONAL ANESTHESIA AT THE CLINIC OF SURGERY IN PILSEN DURING THE PAST 5 YEARS

Certik B., Treska V., Krizan J., Kuntscher V., Sulc R., Cechura M., Molacek J., Altmann P.*, Novak M.**
Clinic of Surgery, University Hospital Plzen-Lochotin
* Clinic of Anesthesia and Resuscitation
** Radiodiagnostic Clinic, University Hospital Plzen-Lochotin

Cerebrovascular accidents are the third leading cause of death in developed countries, and ischemic cerebrovascular accidents constitute up to 85% of the total. Atherosclerotic damage to the carotid bifurcation and internal carotid branch is the leading cause of ischemic cerebrovascular accidents. In 60% of cases, these accidents involve embolization, wherein the emboli originate from an exulcerated plaque or thrombogenic material that is formed in the stenosis and brought by the blood flow to the intracranial circulation. In a lesser number of cases (up to 40%), ischemic cerebrovascular accidents develop as a result of insufficient blood supply to the intracranial circulation caused by a critical stenosis or internal carotid artery occlusion.

At present, two possibilities are available to manage significant findings in the carotid circulation. These are surgical endarterectomy or endovascular stent implantation into the internal carotid artery. The treatment is aimed at preventing ischemic cerebrovascular accidents.

P. 93-98

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