SURGICAL TREATMENT OF THE PATIENTS WITH FIBROMUSCULAR DYSPLASIA OF INTERNAL CAROTID ARTERIES

Vachev A.N., Golovin A.A., Dmitriev O.V., Stepanov M.U., Tereshina O.V.
Clinic of faculcy surgery, The Samara State Medical University,
Samara, Russia

The results of surgical treatment of 78 patients with fibromuscular dysplasia (FMD) of internal carotid artery (ICA) were described in the article. FMD ICA was combined with atherosclerosis of carotid artery at 68 (87,2%) patients and with pathological kinking of ICA at 64 (82%) patients. We provide information about frequency of systemic inflammation response syndrome at FMD ICA, and necessity of its treatment for improvement of surgical outcomes in these patients. The access to extracranial portion of ICA was shown which is necessary for an adequate estimation of changes artery at fibromuscular dysplasia. The role of spastic component in development of characteristic changes at FMD ICA was proved. We propose the specific approach for choosing the method of reconstruction of ICA and definition of the indications to prosthetision at FMD.

KEY WORDS: fibromuscular dysplasia, internal carotid arteries, systemic inflammation response syndrome, prosthetision, puls-therapy.

P. 85-90

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